Caput medusae

For the cactus, see Astrophytum caput-medusae.

Caput medusae
Other namesPalm tree sign
Axial CT showing portosystemic collateral circulation via the umbilical vein: caput medusae in liver cirrhosis
SpecialtyGastroenterology

Caput medusae is the appearance of distended and engorged superficial epigastric veins, which are seen radiating from the umbilicus across the abdomen. The name caput medusae (Latin for "head of Medusa") originates from the apparent similarity to Medusa's head, which had venomous snakes in place of hair. It is also a sign of portal hypertension.[1] When the portal vein, that transfers the blood from the gastrointestinal tract to the liver, is blocked, the blood volume increases in the peripheral blood vessels making them appear engorged.[2] It is caused by dilation of the paraumbilical veins, which carry oxygenated blood from mother to fetus in utero and normally close within one week of birth, becoming re-canalised due to portal hypertension caused by liver failure.The appearance is due to cutanous portosystemic collateral formation between distended and engorged paraumbilical veins that radiate from the umbilicus across the abdomen to join systemic veins.[3]

  1. ^ Mohammed AA (June 2020). "Caput medusae sign; a unique finding during abdominal examination in patients with portal hypertension; case report". Annals of Medicine and Surgery. 54: 54–56. doi:10.1016/j.amsu.2020.04.004. PMC 7191313. PMID 32373342.
  2. ^ https://www.webmd.com/digestive-disorders/what-is-caput-medusae
  3. ^ Sharma B, Raina S (April 2015). "Caput medusae". The Indian Journal of Medical Research. 141 (4): 494. doi:10.4103/0971-5916.159322. PMC 4510739. PMID 26112857.