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Hernia
Published in: Hernia 4/2016

01-08-2016 | Case Report

Umbilical paracentesis for incarcerated umbilical hernia in patients with end-stage liver disease

Authors: S. Alonso, M. Donat, L. Carrion, J. M. Rodriguez, L. Diego, D. Acin, A. Serrano, E. Perez, F. Pereira

Published in: Hernia | Issue 4/2016

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Abstract

Purpose

Patients with cirrhosis and ascites are prone to abdominal wall complications largely predominate by umbilical hernia. Elective surgery is indicated in select patients but a high morbidity and mortality rate occurs if it is performed in emergency conditions.

Methods

We present a clinical case of a patient with advanced alcoholic liver disease who came to the emergency room for an acutely incarcerated umbilical hernia. Due to the high surgical risk, we had to discuss other treatment options.

Results

The use of umbilical paracentesis for incarcerated hernia reduction in cirrhotic patients with tense ascites is a safe and reproducible technique.

Conclusions

Umbilical paracentesis could be considered as an alternative to emergency surgery in these high-risk patients.
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Metadata
Title
Umbilical paracentesis for incarcerated umbilical hernia in patients with end-stage liver disease
Authors
S. Alonso
M. Donat
L. Carrion
J. M. Rodriguez
L. Diego
D. Acin
A. Serrano
E. Perez
F. Pereira
Publication date
01-08-2016
Publisher
Springer Paris
Published in
Hernia / Issue 4/2016
Print ISSN: 1265-4906
Electronic ISSN: 1248-9204
DOI
https://doi.org/10.1007/s10029-015-1421-2

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