Portal hypertensive hemorrhage from a left gastroepiploic vein caput medusa in an adhesed umbilical hernia

Daniel Y. Sze, Karl E. Magsamen, James H. McClenathan, Emmet B. Keeffe, Michael D. Dake

Research output: Contribution to journalArticlepeer-review

6 Scopus citations

Abstract

Caput medusa is a frequent incidental finding in patients with portal hypertension that usually represents paraumbilical vein portosystemic collateral vessels draining into body wall systemic veins. A symptomatic caput medusa was seen in a morbidly obese patient after an umbilical hernia repair, which was fed not by the left portal vein but by the left gastroepiploic vein, in a recurrent adhesed umbilical hernia that likely contained herniated omentum. Refractory hemorrhage from this caput medusa was successfully treated by transjugular intrahepatic portosystemic shunt creation and balloon-occluded variceal sclerosis.

Original languageEnglish (US)
Pages (from-to)281-285
Number of pages5
JournalJournal of Vascular and Interventional Radiology
Volume16
Issue number2 I
DOIs
StatePublished - Feb 2005
Externally publishedYes

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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