Overview Site of Anastomosis Clinical Sign Portal ↔ Systemic Esophagus Esophageal varices Left gastric ↔ esophageal Umbilicus Caput medusae Paraumbilical ↔ superficial, inferior, and superior epigastric Rectum Anorectal varices (sometimes referred to as internal hemorrhoids though they are different) Superior rectal ↔ middle and inferior rectal Portal hypertension symptoms varices of "gut, butt, and caput (medusae)" login to view 3 more bullets portal-systemic anastomoses inferior esophagus login to view 3 more bullets anal canal (rectum) login to view 3 more bullets paraumbilical region login to view 3 more bullets treatment relieve portal hypertension by shunting blood to systemic circulation by login to view 2 more bullets