Presentation
Patient sent for body CT over concerns of haemopoietic disease.
Patient Data
Age: 60 years
Gender: Male
From the case:
Caput medusae
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Cholecystectomy.
The liver is reduced in volume. Patent portal vein.
Splenomegaly of 25 cm, with an enlarged splenic vein measuring 3 cm in diameter.
Markedly dilated recanalized paraumbical veins measuring up to 1.7 cm in diameter at the umbilicus, forming a caput medusae.
Dilated inferior epigastric veins.
Small volume ascites.
Small pleural effusions.
Case Discussion
Striking findings of caput medusae in this patient with portal hypertension.
The recanalized veins are markedly dilated with a large caput medusae at the umbilicus.
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