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.

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This review will summarize the pathophysiologic mechanisms of congestive hepatopathy and provide both description and examples of its multimodality imaging findings.

On palpation, the liver is found enlarged and tender, hepatooathy extending several inches below the costal margin of the ribs.

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

Congestive hepatopathy

Owing to portal obstruction, ascites occurs, followed later by generalised oedema. Gastrointestinal catarrh is usually present, and vomiting of blood may occur. Congestive hepatopathyalso known as nutmeg liver and chronic passive congestion of the liveris liver dysfunction due to venous congestion, usually due to congestive heart failure.

Examples of alternative disease which may have a similar imaging appearance will be provided. In addition to the heart or lung symptoms, there will be a sense of fullness and tenderness in the right hypochondriac region. Coeliac Tropical sprue Blind loop syndrome Small bowel bacterial overgrowth syndrome Whipple’s Short bowel syndrome Steatorrhea Milroy disease Bile acid malabsorption.

When severe and longstanding, hepatic congestion can lead to fibrosis ; if congestion is due to right heart congdstive, it is called cardiac cirrhosis. Wells MVenkatesh SK.


Diagnosis of congestive hepatopathy is important as it has the potential to cause complications including hepatic fibrosis and development hrpatopathy benign and malignant liver masses. Signs and symptoms depend largely upon the primary ocngestive giving rise to the condition. Treatment is directed largely to removing the cause, or, where that is impossible, to modifying its effects.

This retardation of the blood also occurs in lung lesions, such as chronic interstitial pneumoniapleural effusionsand intrathoracic tumors. Abdominal angina Mesenteric ischemia Angiodysplasia Bowel obstruction: You can help by adding to it. Gynaecology Gynecologic oncology Maternal—fetal medicine Obstetrics Reproductive endocrinology and infertility Urogynecology.

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Diseases of the digestive system primarily K20—K93— N2 – Passive hepatic congestion may result from a variety of distinct cardiovascular conditions. Link to publication in Scopus. This section is empty. In other projects Wikimedia Commons.

Wells, Michael ; Venkatesh, Sudhakar K. AB – Passive hepatic congestion may result from a variety of distinct cardiovascular conditions. Central regions of the hepatic lobules are red—brown and stand out against the non-congested, tan -coloured liver.

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Congestive hepatopathy.

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Increased pressure in the sublobular branches of the hepatic veins causes an engorgement of venous blood, and is most frequently due to chronic cardiac lesionsespecially those affecting the right heart e. Reviewing both the benefits and limitations of imaging performed to evaluate congestive hepatopathy and its complications will help to avoid pitfalls and congestivr recommendation of appropriate next steps in diagnostic evaluation. Knowledge regarding the characteristic imaging findings of congestive hepatopathy will allow for its accurate identification.

Congestive hepatopathy — Mayo Clinic

Please review the contents of the article and add the appropriate references if hepatopthy can. D ICD – congsetive This page was last conngestive on 29 Decemberat 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. Michael WellsSudhakar K Venkatesh. From Wikipedia, the free encyclopedia.

Link to citation list in Scopus. The paler areas are unaffected surrounding liver tissue. Access to Document Passive hepatic congestion may result from a variety of distinct cardiovascular conditions.