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Umbilical hemorrhage as first manifestation in a case of cirrhosis

K Harish1, R Harikumar, R Sunil Kumar

  • 1Department of Gastroenterology, Calicut Medical College, Kozhikode, Kerala. dr_harishk@yahoo.co.in

Tropical Gastroenterology : Official Journal of the Digestive Diseases Foundation
|October 18, 2005
PubMed

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.

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