Ascites with a Chance of Flooding: A Rare Complication of Cirrhosis.

Flood Syndrome, characterized by ruptured umbilical hernias with ascitic fluid leakage in decompensated liver cirrhosis, presents a rare but potentially fatal complication of cirrhotic liver disease. We present a case study of a patient with decompensated cirrhosis who underwent multiple medical encounters before the severity of his condition, characterized by ascitic fluid leakage, was recognized. Flood Syndrome was ultimately identified on admission to the hospital, prompting multidisciplinary interventions and discussions, including antibiotics, surgical consultation, and optimization for hernia repair.

Prolactinomas and nonfunctioning adenomas: preoperative diagnosis of tumor type using serum prolactin and tumor size.

Objective: Prolactinoma and nonfunctioning adenoma (NFA) are the most common sellar pathologies, and both can present with hyperprolactinemia. There are no definitive studies analyzing the relationship between the sizes of prolactinomas and NFAs and the serum prolactin level. Current guidelines for serum prolactin level cutoffs to distinguish between pathologies are suboptimal because they fail to consider the adenoma volume.

Outcomes After Repeat Transsphenoidal Surgery for Recurrent Cushing Disease: Updated.

Background: Transspheniodal surgery (TSS) for Cushing disease (CD) is considered the first-line treatment; however, reported recurrence rates are high.

Objective: To systemically review indications and outcomes for repeat TSS in recurrent CD.

Methods: Retrospective review of patients undergoing TSS from 2008 to 2018 was performed.