{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:06:48Z","timestamp":1753877208775,"version":"3.41.2"},"reference-count":6,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2022,2,6]],"date-time":"2022-02-06T00:00:00Z","timestamp":1644105600000},"content-version":"vor","delay-in-days":5,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,2,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Flood syndrome is a very rare complication that can be found in patients with end-stage liver cirrhosis with concurrent ventral hernias. If the hernia ruptures, ascites can begin to leak uncontrollably from the opening which can become a nidus for infection if left untreated. This scenario is known as Flood syndrome, which was first described by Frank Flood in 1961. Flood syndrome is very difficult to manage for physicians as these patients are poor candidates for surgery but the ascitic leak will continue without surgical intervention. Currently, there is no standard of care for Flood syndrome. As such, physicians must rely on case reports to help guide their treatment plan. Our case report highlights the case of a 66-year-old cirrhotic patient with an ascitic leak from a ruptured umbilical hernia with discussion of both medical and surgical approaches to managing this very rare syndrome.<\/jats:p>","DOI":"10.1093\/jscr\/rjac011","type":"journal-article","created":{"date-parts":[[2022,1,6]],"date-time":"2022-01-06T12:08:06Z","timestamp":1641470886000},"source":"Crossref","is-referenced-by-count":0,"title":["A continuous leak from within: a case report on flood syndrome"],"prefix":"10.1093","volume":"2022","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2502-7480","authenticated-orcid":false,"given":"Kumaraman S","family":"Srivastava","sequence":"first","affiliation":[{"name":"TCU School of Medicine, Fort Worth 76105, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2022,2,6]]},"reference":[{"key":"2022020901393887200_ref1","doi-asserted-by":"crossref","first-page":"476","DOI":"10.4240\/wjgs.v8.i7.476","article-title":"Umbilical hernia in patients with liver cirrhosis: a surgical challenge","volume":"8","author":"Coelho","year":"2016","journal-title":"World J Gastrointest Surg"},{"key":"2022020901393887200_ref2","doi-asserted-by":"crossref","first-page":"648","DOI":"10.1097\/00000658-198406000-00003","article-title":"Clarification of risk factors for abdominal operations in patients with hepatic cirrhosis","volume":"199","author":"Garrison","year":"1984","journal-title":"Ann Surg"},{"key":"2022020901393887200_ref3","doi-asserted-by":"crossref","first-page":"675","DOI":"10.1007\/s11605-008-0496-9","article-title":"Umbilical Herniorrhapy in cirrhosis: improved outcomes with elective repair","volume":"12","author":"Gray","year":"2008","journal-title":"J Gastrointest Surg"},{"key":"2022020901393887200_ref4","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1007\/s11605-010-1366-9","article-title":"Perioperative mortality after non-hepatic general surgery in patients with liver cirrhosis: an analysis of 138 operations in the 2000s using child and MELD scores","volume":"15","author":"Neeff","year":"2011","journal-title":"J Gastrointest Surg"},{"key":"2022020901393887200_ref5","doi-asserted-by":"crossref","first-page":"372","DOI":"10.1016\/j.surg.2007.05.006","article-title":"Management in patients with liver cirrhosis and an umbilical hernia","volume":"142","author":"Marsman","year":"2007","journal-title":"Surgery"},{"key":"2022020901393887200_ref6","first-page":"297","article-title":"Chronic peritoneal indwelling catheters for the management of malignant and nonmalignant ascites","volume":"31","author":"Caldwell","year":"2018","journal-title":"Proc (Bayl Univ Med Cent)"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2022\/2\/rjac011\/42405326\/rjac011.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2022\/2\/rjac011\/42405326\/rjac011.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,2,9]],"date-time":"2022-02-09T02:06:32Z","timestamp":1644372392000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjac011\/6523268"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,2,1]]},"references-count":6,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2022,2,1]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjac011","relation":{},"ISSN":["2042-8812"],"issn-type":[{"type":"electronic","value":"2042-8812"}],"subject":[],"published-other":{"date-parts":[[2022,2]]},"published":{"date-parts":[[2022,2,1]]},"article-number":"rjac011"}}