Cruveilhier-Baumgarten syndrome with caput medusae, caused by portal hypertension wich leads to opening of collaterals to carry portal blood into the systemic veins.
this is like what others said is caput medusae due to the problem on the liver.evidence :the varicosities on subcutaneus veins is visible
Caput medusa sign of portal hypertension & abnormal contour of the abdomen (distended abdomen) - ascites which suggests hepatomegaly