Hepatomegaly

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Hepatomegaly
ICD-10 R16..0
ICD-9 789.1
File:Se000.jpg
Computed tomography of hepatomegaly

Hepatomegaly is the condition of having an enlarged liver. It is a nonspecific medical sign having many causes, which can broadly be broken down into infection, direct toxicity, hepatic tumours, or metabolic disorder. Often, hepatomegaly will present as an abdominal mass. Depending on the cause, it may sometimes present along with jaundice.

Diagnosis

After a thorough medical history and physical examination, blood tests should be done — importantly, the liver-function series, which will give a good impression of the patient's broad metabolic picture.

An ultrasound of the liver can reliably detect a dilated biliary-duct system, which helps distinguish parenchymal liver disease from extrahepatic bile-duct obstruction. Ultrasound can also detect the characteristic texture of a cirrhotic liver, and can guide fine-needle aspiration of cysts, abscesses and tumours.

Computed tomography (CT) can help obtain more accurate anatomical information, and is unaffected by obesity or the presence of bowel gases.

Common Causes

Infective

Neoplastic

Cirrhotic

Metabolic

Drugs and Toxins

Congenital

  • Hemolytic anemia
  • Riedel's lobe is an extended, tongue-like, right lobe of the liver. It is not pathological; it is a normal anatomical variant and may extend into the pelvis. It is often mistaken for a distended gall bladder or liver tumour.
  • Polycystic disease
  • Cori's disease

Others

See also

External links

af:Hepatomegalie

de:Hepatomegalie es:Hepatomegalia fa:بزرگ‌کبدی fr:Hépatomégalie pl:Hepatomegalia pt:Hepatomegalia ru:Гепатомегалия fi:Hepatomegalia sv:Hepatomegali tr:Hepatomegali uk:Гепатомегалія