Ruptured Umbilical Hernia in Hepatic Cirrhosis: A Case Report

Abstract

We report a case of ruptured umbilical hernia in a patient with liver cirrhosis and ascites. The individual is working as a washerman in armed force and chronic alcoholic for last 15 years, admitted in emergency with spontaneous discharge of 6 litre of Ascetic fluid from a ruptured umbilical hernia with necrosis of overlying mass. He suffered extreme degree of ascites, which was totally unresponsive to medical treatment. Patient was managed in emergency with sterile dressing, fluid repletion and I/V Antibiotics. Primary closure of the defect done after excising the necrotic tissue under local anaesthesia. Currently, patient is on medical treatment and hernia repair is planned after medical optimisation.