A 58-Year-Old Man Was in a Restaurant When He Suddenly

A 58-year-old man was in a restaurant when he suddenly started to vomit blood. He was taken unconscious to the emergency department of a local hospital. On examination, he had all the signs of severe hypovolemic shock. On palpation of the anterior abdominal wall, the right lobe of the liver was felt three fingerbreadths below the costal margin. Several enlarged superficial veins could be seen around the umbilicus. His wife said that he had vomited blood 3 months previously and had nearly died. She admitted that he was a chronic alcoholic. The diagnosis was cirrhosis of the liver secondary to chronic alcoholism.
-The symptoms and signs displayed by this patient can be explained by the following statements except which?

A) The normal flow of portal blood through the liver is impaired by cirrhosis of the liver.
B) The portal-systemic anastomoses become enlarged in this condition.
C) At the lower end of the esophagus, a branch from the right gastric vein anastomoses with an esophageal tributary of the azygos vein.
D) Rupture of a varicosed esophageal vein could produce a severe hemorrhage so that the patient would vomit up blood.
E) With portal hypertension the paraumbilical veins linking the superficial veins of the skin (systemic veins) to the portal vein become congested and visible.