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To the Editor.—
Jean-Pierre Capron and associates describe the "Ultrasonic Diagnosis of Cruveilhier-Baumgarten Syndrome" (1982;247:681). This syndrome does not refer to the periumbilical venous dilation of portal hypertension—the caput medusae—but only to the hum, murmur, and thrill that can be heard or felt in some of these cases and that may be confused with cardiac murmurs when transmitted to the chest and may be audible or palpable in the absence of gross, visible, periumbilical venous dilation. Therefore, it cannot be demonstrated by an ultrasonogram.
Eisenstadt HB. Ultrasonic Diagnosis of Cruveilhier-Baumgarten Syndrome. JAMA. 1982;248(7):831. doi:10.1001/jama.1982.03330070019019
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