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

Wells, Michael ; Venkatesh, Sudhakar K. In addition to the heart or lung symptoms, there will be a sense of fullness and tenderness in the right hypochondriac region. When severe 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. Articles needing additional medical references from September All 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.


In other projects Wikimedia Commons. 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. True nutmeg liver is usually secondary to left-sided heart failure causing congestive right heart failure, so treatment options are limited. Unsourced or poorly sourced material may be hepatopwthy and removed.

Please review the contents of the article and add the appropriate references if you can. Proctitis Radiation proctitis Proctalgia fugax Jepatopathy prolapse Anismus. This page was last edited on 29 Decemberat Central regions of the hepatic lobules are red—brown and stand out against the non-congested, tan -coloured liver.

Congestive hepatopathy.

N2 – Passive hepatic congestion may result from a variety of distinct cardiovascular conditions. There is usually more or heaptopathy jaundice. Link to publication in Scopus. Upper Hematemesis Melena Lower Hematochezia. Congestivd catarrh is usually present, and vomiting of blood may occur. Increased pressure in the sublobular branches of the hepatic congestivd causes an engorgement of venous blood, and is most frequently due to chronic cardiac lesionsespecially those affecting the right heart e.

Retrieved from ” https: Gynaecology Gynecologic oncology Maternal—fetal medicine Obstetrics Reproductive endocrinology and infertility Urogynecology. Examples of alternative disease which may have a similar imaging appearance will be provided. AB – Passive hepatic congestion may result from a variety of distinct cardiovascular conditions.

Thus, therapy aimed at improving right heart function will also improve congestive hepatopathy.

Coeliac Tropical sprue Blind loop syndrome Small bowel bacterial overgrowth syndrome Whipple’s Short bowel syndrome Steatorrhea Congeetive disease Bile acid malabsorption. Abdominal Radiology From Wikipedia, the free encyclopedia. Diagnosis of congestive hepatopathy is important as hepatoopathy has the potential to cause complications including hepatic fibrosis and development of benign and malignant liver masses. By using this site, you agree to the Terms of Use and Privacy Policy.


Views Read Edit View history. This article with questionable factual accuracy needs more medical references for verification or relies too heavily on primary sources.

Injury to the liver caused by congestion is often asymptomatic and may not be recognized clinically. Michael WellsSudhakar K Venkatesh. Congestive hepatopathy hepatopatny, also known as nutmeg liver and chronic passive congestion of the liveris liver dysfunction due to venous congestion, usually due to congestive heart failure.

Congestive hepatopathy – Wikipedia

Signs and symptoms depend largely upon the primary lesions giving rise to the condition. Peritonitis Spontaneous bacterial peritonitis Hemoperitoneum Pneumoperitoneum. Link to citation list in Scopus. On palpation, the liver is found enlarged and tender, sometimes extending several inches below the costal margin of the ribs.

The paler areas are unaffected surrounding liver tissue. Owing to portal obstruction, ascites occurs, followed later by generalised oedema. Passive hepatic congestion may result from a variety of distinct cardiovascular conditions.

This section is empty. This retardation of the blood also occurs in lung hepatopaty, such as chronic interstitial pneumoniapleural effusionsand intrathoracic tumors.