title: Spontaneous bowel evisceration in a patient with alcoholic cirrhosis and an umbilical hernia.
abstract: We present a case of spontaneous intestinal evisceration through an umbilical hernia in a patient with alcoholic cirrhosis and long-standing ascites. Hernia rupture is an unusual and potentially life-threatening event in patients with tense ascites. Patients should be managed on an individual basis, balancing aggressive medical stabilization with the need for prompt surgical repair.
authors.affiliation: Department of Emergency Medicine, Boston Medical Center, Boston, Massachusetts, USA.
authors.forename: Esther K
authors.initials: EK
authors.lastname: Choo
authors.forename: Stephen
authors.initials: S
authors.lastname: McElroy
mesh_terms: D000328:Adult; D001201:Ascites / Q000150:complications; D006554:Hernia, Umbilical; D006801:Humans; D007410:Intestinal Diseases / Q000209:etiology*; D007421:Intestine, Small; D008104:Liver Cirrhosis, Alcoholic / Q000150:complications*; D008297:Male; D012422:Rupture, Spontaneous / Q000209:etiology