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 [...]

Case Presentation: A 43-year-old male on peritoneal dialysis (PD) was admitted for nausea, vomiting, and abdominal pain. Ten days prior to admission, cloudy effluent was noted during PD, prompting initiation of empiric intraperitoneal vancomycin and ceftazidime therapy. He subsequently developed worsening symptoms leading to his presentation to the hospital.His past medical history was notable for [...]