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Abstract
The report of a patient with cirrhosis, ascites and spontaneous perforation of an
umbilical hernia is presented. Peritonitis developed and the hernia was repaired on
the third day after perforation. The patient promptly improved and was discharged
twenty-one days later. A review of the previously reported cases indicates that survival
without repair is unlikely. We believe that any patient with cirrhosis and ascites
and perforation of an umbilical hernia should have prompt repair of the hernia under
local anesthesia with minimal disturbance of regional venous channels and tight enough
closure to prevent leaking of ascitic fluid even in the presence of peritonitis.
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References
- Herniorrhaphy in cirrhosis of the liver with ascites.New England J. Med. 1956; 255: 733
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- Decompensated portal cirrhosis; report of 112 cases.J. A. M. A. 1931; 97: 237
- Simplified technique for correcting umbilical hernias in infants and children.Arch. Surg. 1959; 78: 353
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© 1963 Published by Elsevier Inc.
