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{
    "pk": 31062,
    "title": "Spontaneous Evisceration, or “Burst Abdomen,” in Patient with Prior Flood Syndrome Surgical Repair",
    "subtitle": null,
    "abstract": "<p>Case Presentation: We present an image and discussion of spontaneous evisceration, or “burst abdomen,” from an anterior abdominal wall hernia. A 61-year-old female with prior history of<br>alcoholic cirrhosis and ascites presented to our emergency department with frank evisceration of multiple loops of small bowel from an open anterior abdominal wall dehiscence. Approximately one year prior to this visit she had also been seen in our department for spontaneous rupture of the skin overlying an umbilical hernia and large-volume external leakage of ascites (Flood syndrome). She required surgery to repair the abdominal wall at that time but had subsequently developed a new ventral hernia extending from the umbilicus across a large portion of her left lower abdomen as well as several other postoperative complications. On the day of presentation, she suffered dehiscence of that one-year-old surgical site resulting in spontaneous evisceration of her small bowel. She was transferred to a facility with acute care surgical capabilities where she remained in critical condition.</p>\n<p>Discussion: Spontaneous evisceration from abdominal wall dehiscence is a devastating surgical complication. It tends to occur in the immediate postoperative period but has been reported to occur years later. This patient likely suffered from delayed burst abdomen due to multiple comorbidities and postoperative complications.</p>",
    "language": "eng",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "Images in Emergency Medicine"
        },
        {
            "word": "Burst Abdomen"
        },
        {
            "word": "Spontaneous Evisceration"
        },
        {
            "word": "Flood Syndrome"
        },
        {
            "word": "case report"
        }
    ],
    "section": "Images in Emergency Medicine",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/3zr528ff",
    "frozenauthors": [
        {
            "first_name": "Matthias",
            "middle_name": "",
            "last_name": "Barden",
            "name_suffix": "",
            "institution": "Hi-Desert Medical Center, Department of Emergency Medicine, Joshua Tree, California; Eisenhower Health Emergency Medicine Residency Program, Rancho Mirage, California; University of California Riverside School of Medicine, Riverside, California",
            "department": ""
        },
        {
            "first_name": "Dustin",
            "middle_name": "",
            "last_name": "Marinelli",
            "name_suffix": "",
            "institution": "Hi-Desert Medical Center, Department of Emergency Medicine, Joshua Tree, California; Desert Regional Medical Center Emergency Medicine Residency, Palm Springs, California",
            "department": ""
        },
        {
            "first_name": "Kirsten",
            "middle_name": "",
            "last_name": "Cable",
            "name_suffix": "",
            "institution": "Hi-Desert Medical Center, Department of Emergency Medicine, Joshua Tree, California; Desert Regional Medical Center Emergency Medicine Residency, Palm Springs, California",
            "department": ""
        }
    ],
    "date_submitted": "2024-07-21T04:32:56.221000Z",
    "date_accepted": "2024-11-13T15:25:59.114000Z",
    "date_published": "2025-01-12T11:00:00Z",
    "render_galley": null,
    "galleys": [
        {
            "label": "PDF",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/31062/galley/31548/download/"
        }
    ]
}