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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?

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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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