Image of the month
Incarcerated Umbilical Hernia After Transjugular Intrahepatic Portosystemic Shunt Procedure for Refractory Ascites

https://doi.org/10.1016/j.cgh.2007.07.018Get rights and content

References (2)

  • J.F. Trotter et al.

    Incarceration of umbilical hernia following transjugular intrahepatic portosystemic shunt for the treatment of ascites

    Liver Transpl Surg

    (1999)
  • J.H. Lemmer et al.

    Umbilical hernia incarceration: a complication of medical therapy of ascites

    Am J Gastroenterol

    (1983)

Cited by (6)

  • Evaluation of the frequency and factors predictive of hernia incarceration following transjugular intrahepatic portosystemic shunt placement

    2021, Clinical Radiology
    Citation Excerpt :

    All these complications cause significant morbidity and mortality in cirrhotic patients. Hernia incarceration is a dreaded, but rarely reported in the cirrhotic patient setting, complication of hernias.7–14 In theory, the presence of ascetic fluid may cause the hernia mouth to remain open, thus reducing the risk of incarceration; however, after treatment of ascites, hernia incarceration may be more likely as the reduced pressure may allow the muscle to re-appose and trap the bowel in the hernia sac.

  • Surgical repair of umbilical hernias in cirrhosis with ascites

    2011, American Journal of the Medical Sciences
    Citation Excerpt :

    Nonsurgical management has been associated with severe complications in patients undergoing regular paracentesis, with spontaneous rupture,4,10–15 spontaneous paracentesis,16–19 spontaneous rupture with evisceration20–22 and death.23 Incarceration following resolution of ascites after transjugular intrahepatic portosystemic shunt (TIPS)24,25 has also been reported. In a series of 35 umbilical herniorrhaphies,4 the indication for surgery was spontaneous rupture (n = 3), leakage (n = 3), ulcerated skin and impending rupture (n = 7), incarceration (n = 10), incarceration with strangulation (n = 3) and abdominal discomfort or pain (n = 9).

  • Management of Uncommon Hernias in Cirrhotic Patients

    2010, Transplantation Proceedings
    Citation Excerpt :

    In this small series, we observed that because the ascites was controlled, hernia repair can be proposed using current techniques in cirrhotic patients without liver impairment. TIPS may be an interesting option to control refractory ascites before hernia repair, but its indication must consider that TIPS-induced encephalopathy can lead to morbidity in these patients and that TIPS is sometimes ineffective to control ascites.13,14 Cirrhotic patients with hernias without the prospect of upcoming transplantation are potential candidates for surgery.

View full text