Pérez AE, Díaz RJD

Language: Spanish
References: 6
Page: 42-44
PDF size: 591.73 Kb.

ABSTRACT

38 years old male patient with alcoholic cirrhosis admitted to the hospital due to spontaneous paracentesis through an umbilical hernia. The patient was intervened to perform a surgical wall repair. The hernioplasty was performed without tension with pre-peritoneal polypropylene mesh and a Penrose-type drain to avoid tension by the ascites fluid buildup and leakage. The patient was discharged after seven days of the surgery without complication, however the patient was re-admitted on the ninth day presenting nausea, diarrheic evacuations, and leakage of ascites fluid through the controlled fistula. Due to the high wear through the fistula in the post-surgical period, the patient developed prerenal failure and hypovolemic hyponanatremia instead of dilutional hyponatremia frequently associated to cirrhotic patients.

REFERENCES

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