Answers are grounded in this paper and cite their sources.
A 70-year-old man with a history of decompensated cirrhosis requiring weekly paracentesis and an umbilical hernia presented to the emergency department with 1 week of progressive umbilical hernia enlargement with umbilical drainage and overlying skin discoloration, nausea, vomiting, and decreased bowel movements. On arrival, he was afebrile and hemodynamically stable. Abdominal examination revealed distension and a protruding, tense, nontender, erythematous umbilical hernia with overlying skin necrosis and leakage of ascitic fluid (Fig).
No takes yet. Share an insight, caveat, or question.
Janie et al. (2026) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: