Image of the Week: Prominent, tortuous abdominal veins - Clinical Advisor

Image of the Week: Prominent, tortuous abdominal veins

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This patient presented with distended engorged veins on the abdomen. Do you recognize the veinous malformation?

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Caput medusae describes tortuous veins after they become prominent on the surface of the abdomen. It is classically associated with portal hypertension and cirrhosis.The differential diagnosis for this particular case included inferior vena cava obstruction (IVCO).To distinguish between Caput medusae...

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Caput medusae describes tortuous veins after they become prominent on the surface of the abdomen. It is classically associated with portal hypertension and cirrhosis.
The differential diagnosis for this particular case included inferior vena cava obstruction (IVCO).

To distinguish between Caput medusae or IVCO, occlusion of the vein is required. If it flows towards the legs, it is Caput medusae. If it flows towards the head, it is IVCO.


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