Flood Syndrome: Endovascular management of spontaneous rupture of an umbilical hernia due to long-standing ascites – A case report

Authors

  • Penalver-Calero, Pablo Department of Radiology, Hospital Clínico San Carlos, Madrid, Spain https://orcid.org/0000-0002-2512-4208
  • Leyva Vásquez-Caicedo, Marco Department of Radiology, Hospital Clínico San Carlos, Madrid, Spain
  • González-Nieto, Jimena Department of Radiology, Hospital Clínico San Carlos, Madrid, Spain
  • Armijo Astrain, Javier Eduardo Department of Radiology, Hospital Clínico San Carlos, Madrid, Spain
  • Méndez Montero, José Vicente Department of Radiology, Hospital Clínico San Carlos, Madrid, Spain

DOI:

https://doi.org/10.3941/jrcr.v17i8.4884

Keywords:

Flood syndrome, TIPS, Ascites, Umbilical hernia, Cirrhosis

Abstract

Umbilical hernias are common in patients with cirrhosis of the liver and ascites; however, spontaneous rupture of the hernia is a rare complication. Flood Syndrome occurs very rarely in cirrhotic patients with massive ascites and refers to the spontaneous rupture of an umbilical hernia followed by leakage of ascites fluid. A literature search shows that patients have been managed both operatively and nonoperatively for this condition. We report a case of a 56-year-old man with a history of alcohol-related liver cirrhosis and massive ascites refractory to medical therapy with sudden and spontaneous perforation of his hernia leading to drainage of ascitic fluid from the abdomen. We performed a transjugular intrahepatic portosystematic shunt to relieve portal pressure and subsequent intraabdominal pressure. The patient had resolution of symptoms and the ascitic fluid outflow was resolved.

56-year-old man with Flood Syndrome

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Published

2023-08-15

Issue

Section

Interventional Radiology