title: Umbilical hemorrhage as first manifestation in a case of cirrhosis.
abstract: 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.
authors.affiliation: Department of Gastroenterology, Calicut Medical College, Kozhikode, Kerala. dr_harishk@yahoo.co.in
authors.forename: K
authors.initials: K
authors.lastname: Harish
authors.forename: R
authors.initials: R
authors.lastname: Harikumar
authors.forename: R Sunil
authors.initials: RS
authors.lastname: Kumar
authors.forename: K
authors.initials: K
authors.lastname: Sandesh
authors.forename: V
authors.initials: V
authors.lastname: Rajendran
authors.forename: Varghese
authors.initials: V
authors.lastname: Thomas
mesh_terms: D000328:Adult; D006470:Hemorrhage / Q000209:etiology*; D006801:Humans; D006975:Hypertension, Portal / Q000150:complications; D008104:Liver Cirrhosis, Alcoholic / Q000150:complications*; D008297:Male; D014471:Umbilical Veins