Recanalized Umbilical Vein in a Patient with Cirrhosis by Dr. Sreeram Parupudi in Journal of Clinical Case Reports Medical Images and Health Sciences
Recanalized Umbilical Vein in a Patient with Cirrhosis by Dr. Sreeram Parupudi in Journal of Clinical Case Reports Medical Images and Health Sciences Clinical Image 41-year-old man with history of alcohol associated cirrhosis complicated by ascites presented with hematemesis. On admission he underwent a CT angiography which revealed portal hypertension manifested by a recanalized paraumbilical vein and portosystemic collaterals. EGD revealed Grade II esophageal varices and portal hypertensive gastropathy. A recanalized umbilical vein is a commonly reported finding on imaging in patients with portal hypertension and can be seen in up to 30% of patients with cirrhosis [1]. In adults without portal hypertension the umbilical vein is not visible and forms the round ligament [2]. Paraumbilical veins are collapsed veins found in the falciform ligament and connect to the left branch of the portal vein to the ventral abdominal veins that drain into the systemic circulation [2]. I...