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Selected Works of Dr. Vivian McAlister O.C.
Article
Association of Recanalization of the Left Umbilical Vein with Umbilical Hernia in Patients with Liver Disease
Liver Transplantation (2005)
  • Eran Shlomovitz, The University of Western Ontario
  • Douglas Quan, The University of Western Ontario
  • Roya Etemad-Rezai, The University of Western Ontario
  • Vivian C. McAlister, The University of Western Ontario
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Abstract

Transmission of portal hypertension to the umbilical region via a recanalized left umbilical vein may explain the higher prevalence of umbilical hernia than inguinal hernia in men with advanced liver disease. Images from a computed tomography of a 49-year-old man with cirrhosis and hepatocellular carcinoma from hepatitis C virus were reconstructed in 3-dimensional color format. Rupture of the web between the left portal vein and the recanalized left umbilical vein is seen. Penetration of abdominal wall by the varices at the umbilicus is demonstrated. A dilated inferior epigastric vein is seen to drain the varices inferiorly to the right external iliac vein.

Keywords
  • Hepatocellular Carcinoma,
  • Functional Laterality,
  • Hepatitis C,
  • Liver Failure,
  • Liver Neoplasms,
  • Liver Transplantation
Disciplines
Publication Date
October, 2005
Citation Information
Eran Shlomovitz, Douglas Quan, Roya Etemad-Rezai and Vivian C. McAlister. "Association of Recanalization of the Left Umbilical Vein with Umbilical Hernia in Patients with Liver Disease" Liver Transplantation Vol. 11 Iss. 10 (2005)
Available at: http://works.bepress.com/vivianmcalister/54/