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 article with questionable factual accuracy needs more medical references for verification or relies too heavily on primary sources. Gynaecology Gynecologic oncology Maternal—fetal medicine Obstetrics Reproductive endocrinology and infertility Urogynecology. The stools are light or clay-colored, and the urine is colored by bile. Retrieved from ” https: This section is empty.
Central regions of the hepatic lobules are red—brown and stand out against the non-congested, tan -coloured liver. This review will summarize the pathophysiologic mechanisms of congestive hepatopathy and provide both description and examples of its multimodality imaging findings.
Abdominal Radiology True nutmeg liver is usually secondary to left-sided heart failure causing congestive right heart failure, so treatment options are limited.
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 congesyive steps in diagnostic evaluation. Abstract Passive hepatic congestion may result from a variety of distinct cardiovascular conditions. In addition to the heart or hepatopahy 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.
Congestive hepatopathy – Wikipedia
Abdominal angina Mesenteric ischemia Angiodysplasia Bowel obstruction: Owing to portal obstruction, ascites occurs, followed vongestive by generalised oedema. Diagnosis of congestive hepatopathy is important as it has the potential to cause complications including hepatic fibrosis and development of benign and malignant liver masses. Articles needing additional medical references from September All articles needing additional references Articles requiring reliable medical sources Infobox congestiev 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.
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Macroscopically, hepaotpathy 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.
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Treatment is directed largely to removing the cause, or, where that is impossible, to modifying its effects. Passive hepatic congestion may result from a variety of distinct cardiovascular conditions. This retardation of the blood also occurs in lung lesions, such as chronic interstitial pneumoniapleural effusionsand intrathoracic tumors.
Gastrointestinal catarrh is usually present, and vomiting of blood may occur. Views Read Edit View history. Upper Hematemesis Melena Lower Hematochezia. Proctitis Radiation proctitis Proctalgia fugax Rectal prolapse Anismus. There is usually more or less jaundice. Micrograph of congestive hepatopathy demonstrating perisinusoidal fibrosis and centrilobular zone III sinusoidal dilation. This page was last edited on 29 Decemberat N2 – Passive hepatic congestion may result from a variety of distinct cardiovascular conditions.
Michael WellsSudhakar K Venkatesh. Wells MConvestive SK. 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. The paler areas are unaffected surrounding liver tissue.
Signs and symptoms depend largely upon the primary lesions giving rise to the condition.