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May 1978

Venous Hum of the Cruveilhier-Baumgarten Syndrome

Author Affiliations

Lafayette, La

Arch Intern Med. 1978;138(5):826. doi:10.1001/archinte.1978.03630290106043

To the Editor.—  J. E. Hardison, MD, reported two cases of Cruveilhier-Baumgarten syndrome (CBS) and noted that the venous hum of CBS, unlike the cervical venous hum, is never present in normal people, is virtually diagnostic of portal hypertension, and may increase rather than decrease in intensity on Valsalva's maneuver.1Dr Annamalai and I reported a case of CBS in a 19-year-old man with biopsy-proved Laennec's cirrhosis.2 Esophagogram showed esophageal varices; percutaneous splenovenogram demonstrated patent splenic and portal veins, two paraumbilical veins that communicated between the left branch of the portal vein and the anterior abdominal wall varices around the umbilicus and in the epigastrium. An oral glucose tolerance test, performed with blood samples that were obtained simultaneously from the antecubital veins and the abdominal varices, showed that fasting glucose level to be the same in both specimens; but the specimens drawn 30, 60, 90, and 120 minutes

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