Spontaneous Perforation of the Umbilicus in Laënnec's Cirrhosis with Massive Ascites

SPONTANEOUS perforation of the umbilicus in Laënnec's cirrhosis with massive ascites is an unusual, serious and frequently fatal complication of this disease. It requires emergency medical and surgical care.In a period of two and a half years from January, 1958, to July, 1960, 5 of 101 (5 per cent) patients with portal cirrhosis and ascites were admitted to St. Vincent's Hospital because of perforation, and all 5 died.The literature records 3 previous cases1 2 3 of spontaneous paracentesis. Two of the 3 patients survived the episode; 1 died with peritonitis, hyperkalemia and azotemia.2 Case ReportsCase 1. R.L. (S.V.H. 032671), . . .