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Kademad- 11-24-2005
hi guys, I'm sure u all heard about caput medusae by now, and here's a real case with a real picture of it... hope it will make u understand it even better...


Good Luck guys... bcmf/60.gif



Caput Medusae

user posted image

A 47-year-old man with a seven-year history of compensated hepatic cirrhosis due to chronic hepatitis B infection presented for routine evaluation. Physical examination revealed a firm liver and mild splenomegaly. There were mildly tortuous veins on his abdominal wall, especially above the umbilicus. For four years, his condition remained stable, but venous dilatations gradually became more prominent around the umbilicus. These venous dilatations represent portal hypertension with backflow from the left portal vein, through the paraumbilical veins in the falciform ligament, and then to the periumbilical systemic veins in the abdominal wall. Color Doppler ultrasonography confirmed subcutaneous collateral veins on the anterior abdominal wall near the umbilicus that had originated from the dilated paraumbilical veins.

muhanned- 11-24-2005
thanx alot kadhum!..it really brought me the picture of how caput medusa is...

Kademad- 11-24-2005
u're most welcome friend bcmf/60.gif

I hope it will help u in ur coming exam bcmf/thmbup.gif


lavie- 11-24-2005
wow,that's really interesting,thanks for sharing it with us smile.gif







FM

bloodstone- 11-25-2005
thx alot 4 helping us

Dr.Leo1984- 06-28-2006
also Campel De Morgan are obvious here...two read spots in the lower part of abdomin

SAFA- 12-26-2006
Thnx alot Kadem smile.gif
though it's for 4th year but it was really of benefit for me ..
keep it up..

mohamed salah- 12-31-2006
i can notice some red spots -papules- in the belly,
do you guys know what it is? now why they are there?

Dr.Leo1984- 12-31-2006
QUOTE
also Campel De Morgan are obvious here...


and i think it is of no clinical benefit if they are few in number.. but when they are many.. they indicate liver disease..AS I THINK

I DON'T READ THAT IN BOOK OR LECTURE, BUT A DR. MENTIONED THAT DURING A SURGERY SESSION WHEN I WAS IN THE FOURTH STAGE

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