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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Access to Document Retrieved from ” https: The stools are light or clay-colored, and the urine is colored by bile. This review will summarize the pathophysiologic mechanisms of congestive hepatopathy and provide both description and examples of its multimodality imaging findings.

Please review the contents of the article and add the appropriate references if you can. By using this site, you agree to the Terms of Use and Privacy Policy. Abstract Passive hepatic congestion may result from a variety of distinct cardiovascular conditions.

Congestive hepatopathy

Views Read Edit View history. When hepaotpathy and longstanding, hepatic congestion can lead to fibrosis ; if congestion is due to right heart failure, it is called cardiac cirrhosis.

Knowledge regarding the characteristic imaging findings of congestive hepatopathy will allow for its accurate identification. Gastrointestinal catarrh is usually present, and vomiting of blood may occur. From Wikipedia, the free encyclopedia.

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. 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.


Thus, therapy aimed at improving right heart function will also improve congestive hepatopathy. AB – Passive hepatic congestion may result congrstive a variety of distinct cardiovascular conditions. Treatment is directed largely to removing the cause, or, where that is impossible, to modifying its effects. Proctitis Radiation proctitis Proctalgia fugax Rectal prolapse Anismus. This page was last edited on 29 Decemberat This section is empty. In addition to the heart or lung symptoms, there will be a sense of fullness and tenderness in the right hypochondriac region.

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

Congestive hepatopathy.

Examples of hepatpathy disease which may have a similar imaging appearance will be provided. Coeliac Tropical sprue Blind loop syndrome Small bowel bacterial overgrowth syndrome Whipple’s Short bowel syndrome Steatorrhea Milroy disease Bile acid malabsorption.

The paler areas are unaffected surrounding liver tissue. Congestive hepatopathyalso known as nutmeg liver and chronic passive congestion of the liveris liver dysfunction due congestivd venous congestion, usually due to congestive heart failure. In other projects Wikimedia Commons.

Injury to the liver caused by congestion is often asymptomatic and may not be recognized clinically. On palpation, the liver is found enlarged and tender, sometimes extending several inches below the costal margin of the ribs.

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. Central regions of the hepatic lobules are red—brown and stand out against the non-congested, tan -coloured liver.


Link to publication in Scopus. 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.

Diseases of the digestive system primarily K20—K93— Micrograph of congestive hepatopathy demonstrating perisinusoidal fibrosis and centrilobular zone III sinusoidal dilation. Diagnosis of congestive hepatopthy is important as it has the potential to cause complications including hepatic fibrosis and development of benign and malignant liver masses. Link to citation list in Scopus. This article with questionable factual accuracy needs more medical references for verification or relies too heavily on primary sources.

This retardation of the blood also occurs in lung lesions, such as chronic ehpatopathy pneumoniapleural effusionsand intrathoracic hepatopathu. Peritonitis Spontaneous bacterial peritonitis Hemoperitoneum Pneumoperitoneum. Signs and symptoms depend largely upon the primary lesions giving rise to the condition. Gynaecology Gynecologic oncology Maternal—fetal medicine Obstetrics Reproductive endocrinology and infertility Urogynecology.

Owing to portal obstruction, ascites occurs, followed later by generalised oedema. Unsourced or poorly sourced material may be challenged and removed.

Congestive hepatopathy – Wikipedia

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

Michael WellsSudhakar K Venkatesh. Abdominal angina Mesenteric ischemia Angiodysplasia Bowel obstruction: True nutmeg liver is usually secondary to left-sided heart failure causing congestive right heart failure, so treatment options are limited.

Upper Hematemesis Melena Lower Hematochezia. Abdominal Radiology D ICD – Wells, Michael ; Venkatesh, Sudhakar K.