A 70 year old non-alcoholic male patient presented in the emergency department with evisceration of omentum and leakage of straw colored uid from umbilicus for 3 days . The patient had a history of umbilical swelling for 1 year. which was gradually increasing in size. He was on medical therapy for control of ascites. ascitic tapping was done 2.5 years back. He had no history of abdominal pain, nausea , vomiting , diarrhoea , constipation, difculty breathing