{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T11:49:03Z","timestamp":1747223343193,"version":"3.40.5"},"reference-count":0,"publisher":"Open Access Text Pvt, Ltd.","issue":"8","license":[{"start":{"date-parts":[[2023,10,11]],"date-time":"2023-10-11T00:00:00Z","timestamp":1696982400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Radiology Case"],"abstract":"<jats:p>Umbilical hernias are common in patients with cirrhosis of the liver and ascites; however, spontaneous rupture of the hernia is a rare complication. Flood Syndrome occurs very rarely in cirrhotic patients with massive ascites and refers to the spontaneous rupture of an umbilical hernia followed by leakage of ascites fluid. A literature search shows that patients have been managed both operatively and nonoperatively for this condition. We report a case of a 56-year-old man with a history of alcohol-related liver cirrhosis and massive ascites refractory to medical therapy with sudden and spontaneous perforation of his hernia leading to drainage of ascitic fluid from the abdomen. We performed a transjugular intrahepatic portosystematic shunt to relieve portal pressure and subsequent intraabdominal pressure. The patient had resolution of symptoms and the ascitic fluid outflow was resolved.<\/jats:p>","DOI":"10.3941\/jrcr.v17i8.4884","type":"journal-article","created":{"date-parts":[[2023,10,13]],"date-time":"2023-10-13T06:11:42Z","timestamp":1697177502000},"page":"29-37","source":"Crossref","is-referenced-by-count":1,"title":["Flood Syndrome: Endovascular management of spontaneous rupture of an umbilical hernia due to long-standing ascites \u2013 A case report"],"prefix":"10.3941","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2512-4208","authenticated-orcid":false,"given":"Pablo","family":"Pe\u00f1alver Calero","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marco","family":"Leyva V\u00e1squez-Caicedo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Claudia Jimena","family":"Gonz\u00e1lez-Nieto","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Javier Eduardo","family":"Armijo Astrain","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jos\u00e9 Vicente","family":"M\u00e9ndez Montero","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"6817","published-online":{"date-parts":[[2023,10,11]]},"container-title":["Journal of Radiology Case Reports"],"original-title":[],"link":[{"URL":"https:\/\/www.radiologycases.com\/index.php\/radiologycases\/article\/download\/4884\/2311","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.radiologycases.com\/index.php\/radiologycases\/article\/download\/4884\/2311","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,15]],"date-time":"2023-10-15T06:12:10Z","timestamp":1697350330000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.radiologycases.com\/index.php\/radiologycases\/article\/view\/4884"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,10,11]]},"references-count":0,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2023,8,15]]}},"URL":"https:\/\/doi.org\/10.3941\/jrcr.v17i8.4884","relation":{},"ISSN":["1943-0922"],"issn-type":[{"type":"electronic","value":"1943-0922"}],"subject":[],"published":{"date-parts":[[2023,10,11]]}}}