Flood Syndrome

Lee, Jia Li; Song’En, Jeffrey Jiang

doi:10.14740/gr1508

Cited by 4 publications

(3 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Given the rarity of this condition, the approach to management is not standardized and the majority of published data stems from case reports and case series [ 3 , 4 ]. Prior reviews reported that medical-only management had mortality rates of 60–80% compared with 6–20% involving combined medical and surgical intervention [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

“…Conservative medical management may include salt restriction, diuretics, electrolyte monitoring, wound dressings, antibiotics, ostomy pouches and fibrin glue. Multiple surgical approaches have been attempted including pigtail drains, partial splenic embolization [ 5 ], temporary percutaneous peritoneal drainage, peritoneovenous shunt, transjugular intrahepatic portosystemic shunt and most commonly, repair of the umbilical hernia with or without a mesh [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Social considerations in surgical management of Flood syndrome: a case report

Ekhteraei

Alsafar

2023

Journal of Surgical Case Reports

View full text Add to dashboard Cite

Flood syndrome, first described by Dr. Frank Flood in 1961, is a rare condition involving the leakage of ascitic fluid through a ruptured ventral hernia. Most commonly, it occurs in patients with advanced, decompensated liver cirrhosis leading to significant amounts of ascites. Currently, there is no standard of care for Flood syndrome due to its very rare nature. Our case report details the medical, surgical and social aspects of a 45-year-old unhoused male with Flood syndrome with post-surgical complications and subsequent infection. This paper aims to add to the sparse literature on Flood syndrome and to discuss some of the complications and treatment approaches for this condition.

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Social considerations in surgical management of Flood syndrome: a case report

Ekhteraei

Alsafar

2023

Journal of Surgical Case Reports

View full text Add to dashboard Cite

show abstract

“…Flood in 1961. 2 Ascites, a common complication of liver cirrhosis, affects nearly half of the population with this condition. Large-volume ascites significantly impairs the patients' ability to perform daily activities.…”

mentioning

confidence: 99%

Flood Syndrome, Rare but Feared Complications

Laiq,

Ahmad,

Yaqoob

2023

J Pak Med Assoc

View full text Add to dashboard Cite

Madam, I am writing to bring attention to a medical condition known as Flood Syndrome, a life-threatening occurrence characterized by the sudden rush of fluid following the spontaneous rupture of an umbilical hernia in individuals with long-standing ascites and end-stage liver disease. While uncommon, this syndrome poses a serious threat to patients' well-being. The umbilical hernia typically ruptures due to increased intra-abdominal pressure resulting from coughing, vomiting, straining during defecation, or an increased ascitic fluid volume (1). This syndrome's history dates back to 1901, when Johnson first described it, while the term "Flood Syndrome" was coined by Frank B. Flood in 1961 (2). Ascites, a common complication of liver cirrhosis, affects nearly half of the population with this condition. Large-volume ascites significantly impairs the patients' ability to perform daily activities. Approximately 20% of cirrhotic patients with ascites also develop an umbilical hernia. Flood Syndrome presents several potential complications, including cutaneous infections, skin necrosis or ulceration, peritonitis, hypotension, fluid imbalance, sepsis, and bowel incarceration (3). Despite its rarity, only a few case studies available on this topic, with the majority focusing on cases related to liver cirrhosis. An intriguing case presented by Murruste et al (5). highlights Flood Syndrome following right-sided heart failure, with no previous records of such a condition in connection with ascites primarily caused by right-sided heart failure. The optimal treatment for Flood Syndrome remains a matter of debate; however, research suggests that surgical intervention yields better outcomes compared to conservative treatment alone. Mortality rates can be as high as 60%-80% with conservative measures, while surgical hernia repair has a lower mortality rate of 6%-20% (4). Hence, raising awareness about Flood Syndrome and its associated risk factors is essential for improving patient outcomes and reducing the incidence of this life-threatening condition. Therefore, educate patients, particularly those with severe ascites due to liver cirrhosis to diligently follow up with their doctors and adhere to their prescribed medications to avoid such dreaded complications. Additionally, physicians should advise their patients to avoid heavy lifting, which can help prevent the formation of umbilical hernias. We can work towards more effective preventive measures and treatments.by fostering a better understanding of this syndrome among medical professionals and patients alike., Timely diagnosis and a multidisciplinary approach to treatment are vital in achieving the best possible outcomes in such cases. Together, we can make a significant impact in addressing this medical challenge.

show abstract