Abstract
In patients with liver cirrhosis and portal
hypertension collateral circulation can develop to direct
blood from portal to systemic veins allowing decompression
of the portal system. A potential complication of
portal hypertension is rupture of collateral vessels with
subsequent fatal hemorrhage, occurring most commonly in
the esophagus. The paraumbilical vein is a recognized
collateral pathway in patients with portal hypertension
however cases of rupture have been rarely documented.
The authors report a case of hemoperitoneum caused by
rupture of a paraumbilical vein into a paraumbilical hernia
in a man with liver cirrhosis and portal hypertension. Post
mortem CT imaging was valuable in localizing the source
of hemorrhage in this case.
Original language | English |
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Pages (from-to) | 77 - 81 |
Number of pages | 5 |
Journal | Forensic Science, Medicine and Pathology |
Volume | 9 |
Issue number | 1 |
DOIs | |
Publication status | Published - 2013 |