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 login to view 22 more bullets