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Updated: Aug 28, 2025

Bedside Ultrasound for Guiding Fluid Removal in Patients with Pulmonary Edema: The Reverse-FALLS Protocol
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Flood Syndrome.

Jia Li Lee1, Jeffrey Jiang2

  • 1Department of Family Medicine, National University Health System Singapore, Singapore 119228, Singapore.

Gastroenterology Research
|September 21, 2022
PubMed
Summary
This summary is machine-generated.

Flood syndrome, a rare complication of liver cirrhosis, involves fluid loss from a ruptured umbilical hernia. This case report details a patient

Keywords:
Flood syndromeLiver cirrhosisSpontaneous umbilical hernia rupture

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Area of Science:

  • Gastroenterology and Hepatology
  • Surgical Complications
  • Clinical Case Reports

Background:

  • Liver cirrhosis frequently leads to ascites, increasing the risk of abdominal wall hernias.
  • Spontaneous umbilical hernia rupture with exsanguination, known as Flood syndrome, is a rare but critical complication.

Observation:

  • A 67-year-old patient presented with Flood syndrome, characterized by massive ascitic fluid loss post-hernia rupture.
  • Initial conservative management was undertaken by primary care physicians in a community hospital setting.

Findings:

  • The patient required transfer to a tertiary hospital for specialized surgical evaluation and definitive management.
  • A comprehensive literature review identified current treatment strategies for Flood syndrome.

Implications:

  • Highlights the importance of prompt recognition and specialized surgical intervention for Flood syndrome.
  • Underscores the need for multidisciplinary care in managing complex cirrhotic complications.
  • Informs clinical practice regarding the optimal treatment pathways for patients with liver cirrhosis and ascites-related hernias.