Caput medusae

Case contributed by Dr Ian Bickle


Patient sent for body CT over concerns of haemopoietic disease.

Patient Data

Age: 60 years
Gender: Male


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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Case information

rID: 60632
Published: 29th May 2018
Last edited: 28th Aug 2018
Tag: ripas2
Inclusion in quiz mode: Included

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