ethamolin and Peritoneal-Diseases

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.

Topics: Hemorrhage; Hernia, Umbilical; Humans; Hypertension, Portal; Male; Middle Aged; Oleic Acids; Omentum; Peritoneal Diseases; Portasystemic Shunt, Transjugular Intrahepatic; Postoperative Complications; Recurrence; Sclerosing Solutions; Sclerotherapy; Stomach; Tissue Adhesions; Varicose Veins