Cruveilhier-baumgarten syndrome without esophageal varices: Ultrasonographic diagnosis and echo-doppler study

Eugenio Caturelli, Giuseppe Sperandeo, Maria Maddalena Squillante, Alessandra Mangia, Luigino Gabbrielli

Research output: Contribution to journalArticlepeer-review

Abstract

Two cases of Cruveilhier-Baumgarten syndrome not clinically evident and without esophageal varices in patients with liver cirrhosis and portal hypertension are presented. The diagnosis was made by real-time ultrasonography, which showed echographic caput medusae with large afferent umbilical veins and efferent inferior superficial epigastric veins. Doppler flowmetry documented high blood flow rates in these collateral portal-systemic circulations, and this explained the absence of large varices at endoscopy. The role of massive spontaneous portal-systemic shunts in preventing the formation of other shunts and particularly esophageal variceal bleeding is discussed.

Original languageEnglish
Pages (from-to)357-361
Number of pages5
JournalJournal of Clinical Gastroenterology
Volume11
Issue number3
Publication statusPublished - 1989

Keywords

  • Portal hypertension
  • Ultrasound studies of liver
  • Umbilical veins

ASJC Scopus subject areas

  • Gastroenterology

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