“…In the general population, UH has a prevalence of approximately 2%,4 while in cirrhotic patients with persistent ascites, it occurs in around 20% of the cases,5 or even up to 40% in large-volume ascites 6 7. As an extremely rare occurrence, though more frequent in cirrhotic patients with ascites,8–11 a sudden increase in intra-abdominal pressure (eg, coughing, straining, physical exercise, etc.) can rupture the UH sac, with leakage of ascites through a skin lesion, the so-called Flood Syndrome,12 or, in the worst-case scenario, with spontaneous bowel evisceration (SBE).…”