Cruveilhier–Baumgarten bruit

Cruveilhier–Baumgarten bruit is a medical condition characterized by a venous hum heard in the epigastric region (the area just below the midpoint of the ribs). It is associated with the Cruveilhier–Baumgarten disease, a rare condition involving portal hypertension and caput medusae.

Overview

The Cruveilhier–Baumgarten bruit is named after two physicians, Jean Cruveilhier and Paul Clemens von Baumgarten, who first described the condition. The bruit, or noise, is caused by turbulent blood flow through the veins due to portal hypertension. This condition is often associated with liver diseases such as cirrhosis and hepatitis.

Symptoms

The primary symptom of Cruveilhier–Baumgarten bruit is a continuous, humming noise that can be heard through a stethoscope in the epigastric region. This noise is most noticeable when the patient is lying down. Other symptoms may include jaundice, ascites, and splenomegaly.

Diagnosis

Diagnosis of Cruveilhier–Baumgarten bruit is typically made through a physical examination and the use of a stethoscope to listen for the characteristic humming noise. Additional tests may be performed to determine the underlying cause of the portal hypertension, such as liver function tests, ultrasound, and computed tomography (CT) scan.

Treatment

Treatment for Cruveilhier–Baumgarten bruit primarily involves managing the underlying cause of the portal hypertension. This may involve medication to reduce the pressure in the veins, or surgical procedures to redirect the blood flow. In severe cases, a liver transplant may be necessary.

See also

• Portal hypertension
• Caput medusae
• Liver disease