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一名晚期肝硬化和顽固性腹水患者发生自发性脐疝破裂并伴有大网膜脱出。

Spontaneous Umbilical Hernia Rupture Associated With Omentum Evisceration in a Patient With Advanced Hepatic Cirrhosis and Refractory Ascites.

作者信息

Albeladi Abdulqader M, Odeh Ahmad M, AlAli Aminah H, Alkhars Abdullah M, Buhlaigah Adeeb M, Alghadeer Hussain A, Almosbeh Mohammed J, AlAbbad Mohmmed T, AlGhadeer Mohammad S

机构信息

Laparoscopic Surgery, Prince Saud Bin Jalawi Hospital, Al-Ahsa, SAU.

General Surgery, Prince Saud Bin Jalawi Hospital, Al-Ahsa, SAU.

出版信息

Cureus. 2021 Jun 29;13(6):e16042. doi: 10.7759/cureus.16042. eCollection 2021 Jun.

DOI:10.7759/cureus.16042
PMID:34336523
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8321416/
Abstract

Flood syndrome is a spontaneous rupture of an umbilical hernia. It has a high mortality and morbidity and presents many challenges in medical versus surgical management. We present a case of a 23-year-old Yamani woman with complicated umbilical hernia, newly diagnosed hepatitis B infection, and decompensated liver cirrhosis with ascites (Child-Pugh grade B). The patient was undergoing multiple abdominal ascitic tapping that eventually ruptured with an omentum evisceration, causing Flood syndrome. An urgent umbilical hernioplasty with mesh in a sublay technique was conducted.

摘要

弗拉德综合征是脐疝的自发性破裂。它具有高死亡率和高发病率，在药物治疗与手术治疗方面存在诸多挑战。我们报告一例23岁的也门口女性病例，该患者患有复杂脐疝、新诊断的乙型肝炎感染以及失代偿期肝硬化伴腹水（Child-Pugh B级）。患者正在接受多次腹腔穿刺放腹水治疗，最终导致网膜脱出并脐疝破裂，引发了弗拉德综合征。遂采用补片在腹膜前技术进行了紧急脐疝修补术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/87f4/8321416/d3e01046b6ee/cureus-0013-00000016042-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/87f4/8321416/d3e01046b6ee/cureus-0013-00000016042-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/87f4/8321416/d3e01046b6ee/cureus-0013-00000016042-i01.jpg

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本文引用的文献

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Acute Abdomen From Umbilical Hernia Rupture to Flood Syndrome: A Case Report and Review of Literature.从脐疝破裂到洪水综合征的急腹症：一例报告及文献复习
J Med Cases. 2019 Oct;10(10):309-311. doi: 10.14740/jmc3375. Epub 2019 Oct 31.
2
The repair of umbilical hernia in cirrhotic patients: 18 consecutive case series in a single institute.肝硬化患者脐疝的修复：单一机构的18例连续病例系列
Ann Surg Treat Res. 2015 Aug;89(2):87-91. doi: 10.4174/astr.2015.89.2.87. Epub 2015 Jul 9.
3
Successful surgical management of ruptured umbilical hernias in cirrhotic patients.
一名肝硬化患者因脐疝破裂导致肠脱垂和菌血症：病例报告及文献综述
Oxf Med Case Reports. 2022 Jul 26;2022(7):omac078. doi: 10.1093/omcr/omac078. eCollection 2022 Jul.
肝硬化患者脐疝破裂的成功手术治疗
World J Gastroenterol. 2015 Mar 14;21(10):3109-13. doi: 10.3748/wjg.v21.i10.3109.
4
Spontaneous evisceration of bowel through an umbilical hernia in a patient with refractory ascites.一名难治性腹水患者的肠道经脐疝自发性脱出。
J Surg Case Rep. 2013 Oct 4;2013(10):rjt073. doi: 10.1093/jscr/rjt073.
5
Outcome of sublay mesh repair in non-complicated umbilical hernia with liver cirrhosis and ascites.肝硬变合并腹水的非复杂性脐疝下置补片修补术的结果。
Int J Surg. 2014;12(2):181-5. doi: 10.1016/j.ijsu.2013.12.009. Epub 2013 Dec 28.
6
Emergency hernia repair in cirrhotic patients with ascites.肝硬化腹水患者的急诊疝修补术。
J Trauma Acute Care Surg. 2013 Sep;75(3):404-9. doi: 10.1097/TA.0b013e31829e2313.
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Management of umbilical hernia complicated with liver cirrhosis: an advocate of early and elective herniorrhaphy.处理肝硬化合并脐疝：提倡早期和选择性疝修补术。
Dig Liver Dis. 2011 Dec;43(12):991-5. doi: 10.1016/j.dld.2011.07.015. Epub 2011 Aug 26.
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A prospective study on elective umbilical hernia repair in patients with liver cirrhosis and ascites.前瞻性研究肝硬化伴腹水患者择期行脐疝修补术。
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