Serkan BORAZAN, Adil COŞKUN, M. Hadi YAŞA

Asitin nadir bir komplikasyonu: umblikal hernide spontan fistül gelişimi

Sirotik hastalarda dekompansasyonun önemli bir göstergesi olan asit, mortaliteyi arttıran en önemli faktörlerden birisidir. Asitli hastalarda sıklıkla umblikal herni gelişmektedir. Umblikal herni gelişmiş sirotik hastalarda mortal seyredebilen komplikasyonlar görülebilmektedir. Bu nedenle umblikal herni gelişmiş asitli hastalar yakın takibe alınmalı, özellikle spontan fistül ve rüptür gibi mortal seyredebilen komplikasyonların gelişebileceği düşünülerek uygun zamanda umblikal hernileri tedavi edilmelidir. Bu makalede spontan fistül gelişmiş asitli sirotik bir vaka sunularak bu konudaki literatür gözden geçirilmiştir.

A rare complication of ascides: umblical hernia complicated by spontaneous fistula

Ascites is one important factor that increases mortality and predicts decompensation in patients with cirrhosis. Umbilical hernia often develops in ascitic patients. Mortal complications may be seen in cirrhotic patients with umbilical hernia. Therefore, ascitic patients with umbilical hernia should be followed closely; umbilical hernias should be treated due to mortal complications such as spontaneous rupture or fistula. In this article, a case of a cirrhotic patient with ascites is reported and a review of the literature on this topic is presented.

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