PAINE #PANCE Pearl – Gastrointestinal



Question

Cirrhosis and intrinsic liver disease can cause a significant increase in pressure within the portal system and result in dilation of the caval tributaries. What are the three (3) most common locations these dilations occurs?


Answer

The three (3) most common locations where you can find dilation of portal caval tributaries as a result of portal hypertension are:

  • Esophageal veins
    • Causing esophageal varices
  • Periumbilical veins
    • Causing caput medusae
  • Inferior and middle rectal veins
    • Causing hemorrhoids

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