Umbilical hemorrhage as first manifestation in a case of cirrhosis.
Portal hypertension is often associated with an extensive collateral circulation. The paraumbilical vein is a relatively common collateral pathway recognized in these patients but cutaneous bleeding from the umbilicus is rare; the same as first manifestation of cirrhosis is exceptional. We report a case of umbilical venous bleed causing hemodynamic compromise, which turned out to be a case of alcoholic cirrhosis with portal hypertension. The patient was managed with suture ligation of the vessels.
Harish
K
K
Department of Gastroenterology, Calicut Medical College, Kozhikode, Kerala. dr_harishk@yahoo.co.in
Harikumar
R
R
Kumar
R Sunil
RS
Sandesh
K
K
Rajendran
V
V
Thomas
Varghese
V
D000328:Adult; D006470:Hemorrhage / Q000209:etiology*; D006801:Humans; D006975:Hypertension, Portal / Q000150:complications; D008104:Liver Cirrhosis, Alcoholic / Q000150:complications*; D008297:Male; D014471:Umbilical Veins