title: Umbilical paracentesis for incarcerated umbilical hernia in patients with end-stage liver disease.
abstract: Patients with cirrhosis and ascites are prone to abdominal wall complications largely predominate by umbilical hernia. Elective surgery is indicated in select patients but a high morbidity and mortality rate occurs if it is performed in emergency conditions.
  
  
  
  We present a clinical case of a patient with advanced alcoholic liver disease who came to the emergency room for an acutely incarcerated umbilical hernia. Due to the high surgical risk, we had to discuss other treatment options.
  
  
  
  The use of umbilical paracentesis for incarcerated hernia reduction in cirrhotic patients with tense ascites is a safe and reproducible technique.
  
  
  
  Umbilical paracentesis could be considered as an alternative to emergency surgery in these high-risk patients.
authors: General and Visceral Surgery Department, Fuenlabrada University Hospital, Madrid, Spain. y.dum@hotmail.com.
authors: S
authors: S
authors: Alonso
authors: General and Visceral Surgery Department, Infanta Leonor Hospital, Madrid, Spain.
authors: M
authors: M
authors: Donat
authors: General and Visceral Surgery Department, Fuenlabrada University Hospital, Madrid, Spain.
authors: L
authors: L
authors: Carrion
authors: General and Visceral Surgery Department, Fuenlabrada University Hospital, Madrid, Spain.
authors: J M
authors: JM
authors: Rodriguez
authors: General and Visceral Surgery Department, Fuenlabrada University Hospital, Madrid, Spain.
authors: L
authors: L
authors: Diego
authors: General and Visceral Surgery Department, Fuenlabrada University Hospital, Madrid, Spain.
authors: D
authors: D
authors: Acin
authors: General and Visceral Surgery Department, Fuenlabrada University Hospital, Madrid, Spain.
authors: A
authors: A
authors: Serrano
authors: General and Visceral Surgery Department, Fuenlabrada University Hospital, Madrid, Spain.
authors: E
authors: E
authors: Perez
authors: General and Visceral Surgery Department, Fuenlabrada University Hospital, Madrid, Spain.
authors: F
authors: F
authors: Pereira
mesh_terms: D001201:Ascites / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D006554:Hernia, Umbilical / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008104:Liver Cirrhosis, Alcoholic / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D019152:Paracentesis / Q000379:methods*; D014463:Ultrasonography
keywords: Ascites; Cirrhosis; Complications; Incarceration; Paracentesis; Umbilical hernia