International Medicine and Health Guidance News ›› 2023, Vol. 29 ›› Issue (7): 998-1001.DOI: 10.3760/cma.j.issn.1007-1245.2023.07.025

• Case Report • Previous Articles     Next Articles

Cirrhosis with ascites and umbilical hernia incarceration: one case report and literature review

Gao Lijuan, Xiao Xin, Dai Guodong, Guan Chundi, Yu Haisheng   

  1. Department of Gastroenterology, Binzhou Medical University Hospital, Binzhou 256600, China

  • Received:2022-11-08 Online:2023-04-01 Published:2023-04-30
  • Contact: Yu Haisheng, Email: yhsmed@126.com

肝硬化腹水并脐疝嵌顿1例报道及文献复习

高立娟  肖欣  戴国栋  关春迪  于海生   

  1. 滨州医学院附属医院消化内科,滨州 256600

  • 通讯作者: 于海生,Email:yhsmed@126.com

Abstract:

Umbilical hernia refers to the external abdominal hernia with abdominal contents protruding from the weak area of umbilical cord. Umbilical hernia based on cirrhosis is often accompanied by more complications. Once incarceration and strangulation occur, the risk of death is significantly increased. Its clinical manifestations are insidious and early diagnosis is difficult. This paper reported a case of cirrhosis with ascites and umbilical hernia incarceration in Binzhou Medical University Hospital. During the patient's course, the umbilical hernia appeared similar to the "pidan" appearance, which could not be returned to the abdominal cavity, suggesting incarceration and strangulation. The patient was successful treated through timely operation. The relevant literatures were summarized to discuss the etiology and treatment of this disease, and the diagnosis and treatment experiences of this disease were summarized.

Key words:

Liver cirrhosis, Ascites, Umbilical hernia, Incarceration

摘要:

脐疝是指腹腔内容物由脐部薄弱区突出的腹外疝,肝硬化基础上发生的脐疝往往伴随更多的并发症,一旦发生嵌顿、绞窄,死亡风险明显增加,其临床表现隐匿,早期不易诊断。本文报道滨州医学院附属医院收治的1例肝硬化腹水并脐疝嵌顿患者,患者病程中脐疝出现类似松花蛋样外观,不能还纳腹腔,提示嵌顿、绞窄,及时手术成功治疗,并进行相关文献的归纳总结,探讨其病因及治疗,总结对该病的诊治体会。

关键词:

肝硬化, 腹水, 脐疝, 嵌顿