Case Presentation: A 46-year-old male with alcohol use disorder and cirrhosis presented to the emergency department for 1 day of persistent ascitic fluid leakage from his umbilicus. Exam was significant for ascites and a reducible, ulcerated umbilical hernia. The ulcer was cleaned, sealed with skin glue, and the patient was discharged. He presented again 7 [...]

Case Presentation: A 64-year-old female with decompensated alcoholic liver cirrhosis was admitted to the hospital for lower abdominal pain. The initial paracentesis polymorphonuclear (PMN) leukocyte count was 149 cells/mm3, but the patient was found to have E. coli urinary tract infection. During the course of her treatment, the patient developed pancreatitis and her hepatic encephalopathy [...]