Cruveilhier Baumgarten (CB) syndrome comprises spontaneous portosystemic collateralization between the paraumbilical vein, the periumbilical veins of the anterior abdominal wall and the superficial and deep epigastric veins reaching the external iliac veins in a patient with portal hypertension. In classic CB syndrome, the umbilical portion of the left portal vein feeds a paraumbilical vein which leaves the liver and then heads towards the umbilicus.
Multidetector computed tomography is a noninvasive method of diagnosis, which expeditiously evaluates the overall status of portosystemic collaterals in patients with portal hypertension.On CT the paraumbilical vein is seen as a tubular structure arising in the fatty falciform ligament between the left lobe of the liver, leading from the left portal vein to veins of the anterior abdominal wall.
The network of dilated veins around the umbilicus gives a "Caput medusae" appearance.
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Multidetector computed tomography is a noninvasive method of diagnosis, which expeditiously evaluates the overall status of portosystemic collaterals in patients with portal hypertension.On CT the paraumbilical vein is seen as a tubular structure arising in the fatty falciform ligament between the left lobe of the liver, leading from the left portal vein to veins of the anterior abdominal wall.
The network of dilated veins around the umbilicus gives a "Caput medusae" appearance.
Click on CBS...See images..
