Caput medusa: a sign of portal hypertension in case of chronic Budd-Chiari syndrome

According to Greek mythology, ‘medusa’ was a monster with hair made of snakes, moving in all directions (figure 1B). Budd-Chiari syndrome is a type of hepatic venous outflow obstruction which results in an increase in the hepatic sinusoidal pressure causing liver congestion. [...]it is an important cause of postsinusoidal type of portal hypertension (figure 1C). [...]in endemic countries, if caput medusa is detected clinically then a routine abdominal doppler examination is essential to rule out this treatable aetiology causing liver cirrhosis.