Review for 10.1186/s12876-022-02167-3 (2022)

Reviewer’s report
Title: 
Recurrent umbilical varix rupture with hemoperitoneum: a case report and
review of literature
Version: 
2 
Date: 
30 Dec 2021
Reviewer's report:
In this paper, Yu & Chang et al. presented a case with recurrent hemoperitoneum
resulted from rupture of umbilical vein varix, and highlighted it as one of the
etiologies that should be considered in cirrhotic patients. Generally, the case
report is interesting. Some points are raised to improve the scientific merit of this
paper.
1. In the case presentation, the authors are advised to provide the detailed initial
vital signs (HR, BP, RR, temperature) rather than simply "tachycardia and shock
status" (P4 L15 & P5 L24). In addition, the consciousness level (GCS) should be
listed, if available. The above information is very important for the physicians to
determine the severity of hemorrhagic shock in clinical practice as well as case
sharing.
2. In P5 L21, in order to clarify the natural course of recurrent umbilical vein
variceal bleeding, the authors are encouraged to specify the time point of the
second visit of ED. (How many days after the first discharge from ED?)
3. There are many typos and grammatical errors that make it is hard to read.
Please correct them carefully or consider English editing service. For example,
"abruptly" should read "abrupt" or "sudden-onset"; "loss of conscious" should
read "loss of consciousness"; "accepted" should read "received" (P5 L53);
"highly recurrency" should read "high risk of …"; "cirrhosis patients" should
read "cirrhotic patients"; "nodule lesion" should read "nodular lesion" (please
check other typos not specified here). There are also some grammatical errors
throughout the manuscript, including the subtitle of the video.
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