Congestive Hepatopathy – Etiology, pathophysiology, symptoms, signs, diagnosis & prognosis from the MSD Manuals – Medical Professional Version. Congestive Hepatopathy. Moira Hilscher, M.D.,* and William Sanchez, M.D.†. The liver is a highly vascular organ that receives approxi- mately 25% of cardiac . Congestive hepatopathy arises from chronically ele- vated hepatic venous pressures secondary to right-sided heart failure. Elevated cardiac pressures are.

Author: Akira Mazur
Country: Iraq
Language: English (Spanish)
Genre: Software
Published (Last): 6 September 2015
Pages: 272
PDF File Size: 4.29 Mb
ePub File Size: 12.83 Mb
ISBN: 115-9-62361-160-2
Downloads: 90264
Price: Free* [*Free Regsitration Required]
Uploader: Maugar

Signs and symptoms depend largely upon the primary lesions giving rise to the condition. Gynaecology Gynecologic uepatopathy Maternal—fetal medicine Obstetrics Reproductive endocrinology and infertility Urogynecology.

Passive hepatic congestion may result from a variety of distinct cardiovascular hepatopatjy. The gross pathological appearance of a liver affected by chronic passive congestion is “speckled” like a grated nutmeg kernel; the dark spots represent the dilated and congested hepatic venules and small hepatic veins.

Treatment is directed largely to removing the cause, or, where that is impossible, to modifying its effects. Owing to portal obstruction, ascites occurs, followed later by generalised oedema. Wells MVenkatesh SK. Upper Hematemesis Melena Congewtive Hematochezia.

Congestive hepatopathy.

Peritonitis Spontaneous bacterial peritonitis Hemoperitoneum Pneumoperitoneum. Proctitis Radiation proctitis Proctalgia fugax Rectal prolapse Anismus.

Injury to the liver caused by congestion is often asymptomatic and may not be recognized clinically. In addition to the heart or lung symptoms, there will be a sense of fullness and tenderness in the right hypochondriac region.


On palpation, the liver is found enlarged and tender, sometimes extending several inches below the costal margin of the ribs. From Wikipedia, the free encyclopedia. Please review the contents of the article and add the appropriate references if you can.

This review will summarize the pathophysiologic mechanisms of congestive hepatopathy and provide both description and examples of its multimodality imaging findings. Reviewing both the benefits and limitations of imaging performed to evaluate congestive hepatopathy and its complications will help to avoid pitfalls and enable recommendation of appropriate next steps in diagnostic evaluation. This retardation of the blood also occurs in lung lesions, such as chronic interstitial pneumoniapleural effusionsand intrathoracic tumors.

Hepxtopathy needing additional medical references from September Hepatopatht articles needing additional references Articles requiring reliable medical sources Infobox medical condition new Articles to be expanded from November All articles to be expanded Articles with empty sections from November All articles with empty sections Articles using small message boxes.

AB – Passive hepatic congestion may result from a variety of distinct cardiovascular conditions.

Examples of hepatoppathy disease which may have a similar imaging appearance will be provided. Unsourced or poorly sourced material may be challenged and removed.

Gastrointestinal catarrh is usually present, and vomiting of blood may occur.

Congestive hepatopathy

Retrieved from ” https: Abstract Passive hepatic congestion may result from a variety of distinct cardiovascular conditions. The stools are light or clay-colored, and the urine is colored by bile.

Coeliac Tropical sprue Blind loop syndrome Small bowel bacterial overgrowth syndrome Whipple’s Short bowel syndrome Steatorrhea Milroy disease Bile acid malabsorption. Abdominal angina Mesenteric ischemia Angiodysplasia Bowel obstruction: Macroscopically, the liver has a pale and spotty appearance in affected areas, as stasis of the blood causes pericentral hepatocytes liver cells surrounding the central venule of the liver to become deoxygenated compared to the relatively better-oxygenated periportal hepatocytes adjacent to the hepatic arterioles.


True nutmeg liver is usually secondary to left-sided heart failure causing congestive right heart failure, so treatment options are limited. Thus, therapy aimed at improving right heart function will also improve congestive hepatopathy. Knowledge regarding the characteristic imaging findings of congestive hepatopathy will allow for its accurate identification. By using this site, you agree to the Terms of Use and Privacy Policy. Central regions of the hepatic lobules are red—brown and stand out against the non-congested, tan -coloured liver.

Radiology Interventional radiology Nuclear medicine Pathology Anatomical pathology Clinical pathology Clinical chemistry Clinical immunology Cytopathology Medical microbiology Transfusion medicine.

Views Read Edit View history. Congestlve – Passive hepatic congestion may result from a variety of distinct cardiovascular conditions. Link to citation list in Scopus. Link to publication in Scopus.