Lemmer J H, Strodel W E, Eckhauser F E
Am J Gastroenterol. 1983 May;78(5):295-6.
Umbilical hernias occur frequently among patients with cirrhosis and ascites. Common complications include incarceration, leakage, and rupture. Two patients experienced umbilical hernia incarceration while undergoing medical therapy of their massive ascites--a complication not previously described. Decompression of ascites apparently causes decreased tension on the umbilical hernia ring with subsequent trapping of the hernia sac contents. Mortality of incarcerated umbilical hernias is significant (3-14%). Patients receiving medical therapy for ascites should be examined carefully for the presence of umbilical hernias and, if present, the hernias should be observed closely during the course of treatment.
脐疝在肝硬化和腹水患者中很常见。常见并发症包括嵌顿、渗漏和破裂。两名患者在接受大量腹水的药物治疗时发生了脐疝嵌顿——这是一种以前未描述过的并发症。腹水减压显然会导致脐疝环张力降低，随后疝囊内容物被困住。嵌顿性脐疝的死亡率很高（3% - 14%）。接受腹水药物治疗的患者应仔细检查是否存在脐疝，如果存在，在治疗过程中应密切观察疝的情况。
