Understanding the Spectrum of Flood Syndrome: A Case Series

Flood syndrome refers to ruptured umbilical hernias in patients with chronic ascites with underlying liver cirrhosis. These ruptures may introduce infection into the abdomen and hence require emergency surgery. However, these patients are at high risk during these procedures owing to coagulopathy, h...

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Published inCurēus (Palo Alto, CA) Vol. 16; no. 6; p. e62059
Main Authors Jayaprakash, Aditya, Kawarat, Vikas C, S, Vijayalakshmi
Format Journal Article
LanguageEnglish
Published United States Cureus Inc 10.06.2024
Cureus
Subjects
Abdomen
Ascites
Cardiovascular disease
Electrolytes
Emergency medical care
Emergency Medicine
Gastroenterology
General Surgery
Hernias
Hyponatremia
Hypotension
Liver diseases
Metabolism
Mortality
Patients
Peritonitis
Surgery
flood syndrome
ruptured
spontaneous
umbilical hernia
cirrhosis
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Summary:Flood syndrome refers to ruptured umbilical hernias in patients with chronic ascites with underlying liver cirrhosis. These ruptures may introduce infection into the abdomen and hence require emergency surgery. However, these patients are at high risk during these procedures owing to coagulopathy, hypotension and electrolyte imbalances. In our series, we describe six patients who presented with varying degrees of severity and were treated with a standardised protocol of primary anatomic repair and drain placement. Furthermore, we assessed the Child-Turcotte-Pugh (CTP) and Model for End-Stage Liver Disease (MELD) scores in these patients and correlated them to postoperative outcomes. This surgical technique has a good outcome in patients whose CTP and MELD scores predict a safe postoperative period.
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ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.62059