Flood syndrome: a leaky umbilical hernia
DOI:
https://doi.org/10.18203/2349-2902.isj20260859Keywords:
Umbilical hernia, Flood syndrome, Chronic liver disease, Ascites, CirrhosisAbstract
Flood syndrome is a rare but serious complication of advanced liver disease, defined by spontaneous rupture of an umbilical hernia with sudden leakage of ascitic fluid. Chronic ascites increases intra-abdominal pressure, weakening the abdominal wall and predisposing to hernia formation. Skin ulceration or necrosis over the hernia sac may indicate impending rupture. We present a case of a 53-year-old man with decompensated chronic liver disease and ascites who presented with abdominal distension, umbilical swelling, and continuous ascitic fluid leakage. He had discontinued medical therapy two months earlier. Examination revealed a distended abdomen with a necrotic umbilical hernia and significant fluid loss. Following prompt fluid resuscitation, emergency surgical repair with excision of necrotic tissue was performed. Postoperatively, ascites management was reinstated, and recovery was uneventful. Flood syndrome carries high morbidity and mortality. Early recognition, hemodynamic stabilization, infection control, and effective ascites management are crucial for successful surgical repair and improved outcomes.
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