Abstract
History A 46-year-old alcoholic man was hospitalized because of mild hematemesis. Clinical examination revealed the presence of hepatomegaly and evidence of a moderately extensive abdominal collateral circulation. Findings from abdominal auscultation were normal. Endoscopy of the upper gastrointestinal tract demonstrated small, nonbleeding esophageal varices and hemorrhagic gastritis. Serum bilirubin level was 1.3 mg/dL. The SGPT value was 47 IU. The alkaline phosphatase was 185 IU (normal, less than 170 IU). The albumin level was 3.2 g/dL and the γ-globulin level was 1.8 g/dL. The prothrombin time was 75% of the control. A gray-scale ultrasonogram was obtained. The liver appeared normal, and the portal axis was patent. A tubular channel (Fig 1) (small arrows) was observed transversing the area from the portal vein (large arrow) to the umbilical area (asterisk). Diagnosis Cruveilhier-Baumgarten syndrome. Comment The tubular channel noted in the ultrasonogram in Fig 1 was interpreted as a probable umbilical vein.
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