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Figure 1. A 43-year-old man known to have hepatitis C infection and a long history of alcohol abuse was admitted to the hospital with ascites and edema. For the previous year he had noticed painless enlarged veins on his abdomen. Examination revealed spider angiomas, palmar erythema, enlarged parotid glands, edema, hepatosplenomegaly, ascites, and an unusually large caput medusae. Auscultation over the caput medusae revealed a Cruveilhier–Baumgarten murmur. Paracentesis yielded fluid that appeared to be a transudate. Abdominal ultrasonography revealed cirrhosis, hepatosplenomegaly, ascites, a recanalized umbilical vein, and patent hepatic veins. An abdominal computed tomographic scan showed a 3-mm recanalized . . . [Full Text of this Article] |
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