Umbilical paracentesis for acute hernia reduction in cirrhotic patients

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Incarcerated umbilical hernia after large volume paracentesis for refractory ascites.

A 42-year-old Caucasian male with cirrhosis due to alcohol abuse and HCV infection was having repeated 4-5 L paracenteses, increasing in frequency to twice monthly, over 31 months. Following the last paracentesis, he developed nausea, umbilical pain and a tender, warm non-reducible umbilical mass. A CT scan confirmed a large umbilical hernia with incarcerated bowel and ascites (Figs. 1 a,b). He...

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ژورنال

عنوان ژورنال: Case Reports

سال: 2013

ISSN: 1757-790X

DOI: 10.1136/bcr-2013-201304