Case of the Month
2 male patients age 64 and 71
Both patients have a palpable lesion in the abdominal wall near the umbilicus. One shows a slight blue discoloration. An ultrasound examination was requested to confirm an umbilical hernia.
In patients with liver cirrhosis it is important to look for other signs of portal hypertension. Both patients also had a splenomegaly as shown here on this longitudinal image of patient 1 showing an 18 cm large spleen.
For more examples of liver cirrhosis, portal hypertension and (para)umbilical veins see