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Case Reports
. 2019 Jan 28;7(3):452-455.
doi: 10.1002/ccr3.1996. eCollection 2019 Mar.

A case of fatal cutaneous caput medusae hemorrhage

Nikolaos Melas  1 , Amil Haji Younes  1 , Peter Magnusson  1   2
Affiliations
Case Reports

A case of fatal cutaneous caput medusae hemorrhage

Nikolaos Melas et al. Clin Case Rep. .

Abstract

Alcoholic liver cirrhosis leads to portal venous hypertension, which can result in a caput medusae formation. Life-threatening hemorrhage from a ruptured caput medusae vein is a rare complication. It is crucial to stop the bleeding promptly. A transjugular intrahepatic portosystemic shunt is considered potentially lifesaving.

Keywords: alcoholic liver cirrhosis; caput medusae; esophageal varices; hemorrhage; hypertensive gastropathy.

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Conflict of interest statement

All authors declared no conflict of interest.

Figures

Figure 1
Figure 1
CT without contrast (axial) shows protruding paraumbilical veins
Figure 2
Figure 2
CT without contrast (coronal) shows dilated paraumbilical veins
See this image and copyright information in PMC

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References

    1. Cales P, Desmorat H, Vinel JP, et al. Incidence of large oesophageal varices in patients with cirrhosis: application to prophylaxis of first bleeding. Gut. 1990;31(11):1298‐1302. - PMC - PubMed
    1. Grace ND. Prevention of initial variceal hemorrhage. Gastroenterol Clin North Am. 1992;21(1):149‐161. - PubMed
    1. Lebrec D, Benhamou JP. Ectopic varices in portal hypertension. Clin Gastroenterol. 1985;14(1):105‐121. - PubMed
    1. Vassallo GA, Tarli C, Rando MM, et al. Liver transplantation in patients with alcoholic liver disease: a retrospective study. Alcohol. 2017;53(2):151‐156. - PubMed
    1. O’Shea RS, Dasarathy S, McCullough AJ. Alcoholic liver disease. Hepatology. 2010;51(1):307‐328. - PubMed

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