title: Incarceration of umbilical hernia: a rare complication of large volume paracentesis.
abstract: We present two cases of umbilical hernia incarceration following large volume paracentesis (LVP) in patients with cirrhotic ascites. Both patients became symptomatic within 48 hours after the LVP. Although being rare, given the significantly higher mortality rate of cirrhotic patients undergoing emergent herniorrhaphy, this complication of LVP is potentially serious. Therefore, it is recommended that patients be examined closely for the presence of umbilical hernias before removal of ascitic fluid and an attempt should be made for external reduction of easily reducible hernias, if a hernia is present.
authors.affiliation: Department of Radiology, Rutgers, The State University of New Jersey, Newark, NJ, USA.
authors.forename: Iman
authors.initials: I
authors.lastname: Khodarahmi
authors.affiliation: Department of Radiology, Rutgers, The State University of New Jersey, Newark, NJ, USA.
authors.forename: Muhammad Usman
authors.initials: MU
authors.lastname: Shahid
authors.affiliation: Department of Radiology, Rutgers, The State University of New Jersey, Newark, NJ, USA.
authors.forename: Sohail
authors.initials: S
authors.lastname: Contractor
mesh_terms: D000328:Adult; D000368:Aged; D001201:Ascites / Q000628:therapy*; D003937:Diagnosis, Differential; D006554:Hernia, Umbilical / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008297:Male; D019152:Paracentesis / Q000009:adverse effects*; D011859:Radiography; D016896:Treatment Outcome
keywords: Cirrhosis; Hernia; Incarceration; Large volume paracentesis; Umbilical