Case Reports Journal Article Ppublish
PubMed: 39974546 DOI: 10.70352/scrj.cr.24-00447
Hybrid Extended Totally Extraperitoneal Transversus Abdominis Release for Ruptured Incisional Hernia Etiologically Very Similar to Flood Syndrome: A Case Report.
Surg Case Rep 11(1)
Authors: Mariko Sambommatsu, Taketo Matsubara, Gen Shimada, Toshimi Kaido
Affiliations
- Department of Gastroenterological and General Surgery, St. Luke's International Hospital, Tokyo, Japan.
- Hernia Center, St. Luke's International Hospital, Tokyo, Japan.
Abstract
INTRODUCTION
The rupture of an umbilical hernia, which is known as Flood syndrome, is a rare and life-threatening complication of liver cirrhosis. Herein, we report the successful repair of a ruptured incisional hernia accompanied by liver cirrhosis.
CASE PRESENTATION
A female in her 40s with a history of alcoholic cirrhosis and ruptured acute umbilical hernia treated by primary closure 6 months earlier presented with ascites leakage from abdominal skin. She was diagnosed with a ruptured incisional hernia accompanied by massive ascites. We started preoperative management with topical corticosteroids and oral diuretics. Nine months after the first visit, hybrid herniorrhaphy, extended totally extraperitoneal transversus abdominis release (eTEP-TAR) was performed. The patient has since been well without any sign of recurrence for 2 years.
CONCLUSIONS
We experienced a successful treatment of a ruptured incisional hernia accompanied by liver cirrhosis. Preoperative management and surgical strategies are important for the treatment of ruptured incisional hernia and Flood syndrome.
MeSH
Hernia, Liver Cirrhosis, Liver, Hernia, Umbilical, Therapeutics, Abdominal Muscles, Rupture, Ascites, Incisional Hernia