Umbilical hernia in a patient with refractory ascites and uncontrolled hypothyroidism: a case report

Umbilical hernias are a common complication in patients with ascites, particularly those with chronic liver disease. Increased intra-abdominal pressure and weakening of the abdominal wall predispose to hernia formation and associated complications. Endocrine disorders such as hypothyroidism may further exacerbate fluid retention and impair tissue integrity. We report a case of a 52-year-old male with recurrent ascites and poorly controlled hypothyroidism who developed a progressively enlarging umbilical hernia requiring surgical repair. This case highlights the importance of early recognition, optimization of comorbid conditions, and timely surgical intervention in high-risk patients.