Spontaneous Evisceration, or “Burst Abdomen,” in Patient with Prior Flood Syndrome Surgical Repair
Case Presentation: We present an image and discussion of spontaneous evisceration, or “burst abdomen,” from an anterior abdominal wall hernia. A 61-year-old female with prior history of alcoholic cirrhosis and ascites presented to our emergency department with frank evisceration of multiple loops of...
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| Format: | Article |
| Language: | English |
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eScholarship Publishing, University of California
2025-01-01
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| Series: | Clinical Practice and Cases in Emergency Medicine |
| Online Access: | https://escholarship.org/uc/item/3zr528ff |
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| author | Matthias Barden Dustin Marinelli Kirsten Cable |
| author_facet | Matthias Barden Dustin Marinelli Kirsten Cable |
| author_sort | Matthias Barden |
| collection | DOAJ |
| description | Case Presentation: We present an image and discussion of spontaneous evisceration, or “burst abdomen,” from an anterior abdominal wall hernia. A 61-year-old female with prior history of alcoholic cirrhosis and ascites presented to our emergency department with frank evisceration of multiple loops of small bowel from an open anterior abdominal wall dehiscence. Approximately one year prior to this visit she had also been seen in our department for spontaneous rupture of the skin overlying an umbilical hernia and large-volume external leakage of ascites (Flood syndrome 1). She required surgery to repair the abdominal wall at that time but had subsequently developed a new ventral hernia extending from the umbilicus across a large portion of her left lower abdomen as well as several other postoperative complications. On the day of presentation, she suffered dehiscence of that one-year-old surgical site resulting in spontaneous evisceration of her small bowel. She was transferred to a facility with acute care surgical capabilities where she remained in critical condition. Discussion: Spontaneous evisceration from abdominal wall dehiscence is a devastating surgical complication. It tends to occur in the immediate postoperative period but has been reported to occur years later. This patient likely suffered from delayed burst abdomen due to multiple comorbidities and postoperative complications. |
| format | Article |
| id | doaj-art-af9468034e8648f7b551ecc04d39bdce |
| institution | Kabale University |
| issn | 2474-252X |
| language | English |
| publishDate | 2025-01-01 |
| publisher | eScholarship Publishing, University of California |
| record_format | Article |
| series | Clinical Practice and Cases in Emergency Medicine |
| spelling | doaj-art-af9468034e8648f7b551ecc04d39bdce2025-02-04T17:35:19ZengeScholarship Publishing, University of CaliforniaClinical Practice and Cases in Emergency Medicine2474-252X2025-01-019111711910.5811/cpcem.31062cpcem-9-117Spontaneous Evisceration, or “Burst Abdomen,” in Patient with Prior Flood Syndrome Surgical RepairMatthias Barden0Dustin Marinelli1Kirsten Cable2University of California Riverside School of Medicine, Riverside, CaliforniaHi-Desert Medical Center, Department of Emergency Medicine, Joshua Tree, CaliforniaHi-Desert Medical Center, Department of Emergency Medicine, Joshua Tree, CaliforniaCase Presentation: We present an image and discussion of spontaneous evisceration, or “burst abdomen,” from an anterior abdominal wall hernia. A 61-year-old female with prior history of alcoholic cirrhosis and ascites presented to our emergency department with frank evisceration of multiple loops of small bowel from an open anterior abdominal wall dehiscence. Approximately one year prior to this visit she had also been seen in our department for spontaneous rupture of the skin overlying an umbilical hernia and large-volume external leakage of ascites (Flood syndrome 1). She required surgery to repair the abdominal wall at that time but had subsequently developed a new ventral hernia extending from the umbilicus across a large portion of her left lower abdomen as well as several other postoperative complications. On the day of presentation, she suffered dehiscence of that one-year-old surgical site resulting in spontaneous evisceration of her small bowel. She was transferred to a facility with acute care surgical capabilities where she remained in critical condition. Discussion: Spontaneous evisceration from abdominal wall dehiscence is a devastating surgical complication. It tends to occur in the immediate postoperative period but has been reported to occur years later. This patient likely suffered from delayed burst abdomen due to multiple comorbidities and postoperative complications.https://escholarship.org/uc/item/3zr528ff |
| spellingShingle | Matthias Barden Dustin Marinelli Kirsten Cable Spontaneous Evisceration, or “Burst Abdomen,” in Patient with Prior Flood Syndrome Surgical Repair Clinical Practice and Cases in Emergency Medicine |
| title | Spontaneous Evisceration, or “Burst Abdomen,” in Patient with Prior Flood Syndrome Surgical Repair |
| title_full | Spontaneous Evisceration, or “Burst Abdomen,” in Patient with Prior Flood Syndrome Surgical Repair |
| title_fullStr | Spontaneous Evisceration, or “Burst Abdomen,” in Patient with Prior Flood Syndrome Surgical Repair |
| title_full_unstemmed | Spontaneous Evisceration, or “Burst Abdomen,” in Patient with Prior Flood Syndrome Surgical Repair |
| title_short | Spontaneous Evisceration, or “Burst Abdomen,” in Patient with Prior Flood Syndrome Surgical Repair |
| title_sort | spontaneous evisceration or burst abdomen in patient with prior flood syndrome surgical repair |
| url | https://escholarship.org/uc/item/3zr528ff |
| work_keys_str_mv | AT matthiasbarden spontaneouseviscerationorburstabdomeninpatientwithpriorfloodsyndromesurgicalrepair AT dustinmarinelli spontaneouseviscerationorburstabdomeninpatientwithpriorfloodsyndromesurgicalrepair AT kirstencable spontaneouseviscerationorburstabdomeninpatientwithpriorfloodsyndromesurgicalrepair |