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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D ICD – Upper Hematemesis Melena Lower Hematochezia. Treatment is directed largely to removing the cause, or, where that is impossible, to modifying its effects. Diseases of the digestive system primarily K20—K93— This page was last edited on 29 Decemberat Retrieved from ” https: Peritonitis Spontaneous bacterial peritonitis Hemoperitoneum Pneumoperitoneum. Link to publication in Scopus. Injury to the liver caused by congestion is often asymptomatic and may not be recognized clinically.

Congestive hepatopathy — Mayo Clinic

Wells, Michael ; Venkatesh, Sudhakar K. Increased pressure in the sublobular branches of the hepatopatgy veins causes an engorgement of venous blood, and is most frequently due to chronic cardiac lesionsespecially those affecting the right heart e.

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

The paler areas are unaffected surrounding liver tissue. Radiology Interventional radiology Nuclear medicine Pathology Anatomical pathology Clinical pathology Clinical chemistry Clinical immunology Cytopathology Medical microbiology Transfusion medicine. By using this site, you agree to the Terms of Use and Privacy Policy. When severe and longstanding, hepatic congestion can lead to fibrosis ; if congestion is due to right heart failure, it is called cardiac cirrhosis.

Abdominal angina Mesenteric ischemia Angiodysplasia Bowel obstruction: This article with questionable factual accuracy needs more medical references for verification or relies too heavily on primary sources. In other projects Wikimedia Commons.

Michael WellsSudhakar K Venkatesh. From Wikipedia, the free encyclopedia. You can help by adding to it. 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.

N2 – Passive hepatic congestion may result from a variety of distinct cardiovascular conditions. Passive hepatic congestion may result from a variety of distinct cardiovascular conditions. This section is empty.

Congestive hepatopathy.

Access to Document Central regions of the hepatic lobules are red—brown and stand out against the non-congested, tan heepatopathy liver. On palpation, the liver is found enlarged and tender, sometimes extending several inches below the costal margin of the ribs. Wells MVenkatesh SK.


Abdominal Radiology Owing to portal obstruction, ascites occurs, followed later by generalised oedema.

True nutmeg liver is usually secondary to left-sided heart failure causing congestive right heart failure, so treatment congwstive are limited. Gynaecology Gynecologic oncology Maternal—fetal medicine Obstetrics Reproductive endocrinology and infertility Urogynecology.

Views Read Edit View history. Signs and symptoms depend largely upon the primary lesions giving rise to the condition. In addition to the heart or lung symptoms, there will be a hepqtopathy of fullness and tenderness in the right hypochondriac region. This review will summarize the pathophysiologic mechanisms of congestive hepatopathy and provide both description and examples of its multimodality imaging findings.

Congestive hepatopathy

Thus, therapy aimed at improving right heart function will also improve congestive hepatopathy. 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 hepatopayhy next steps in diagnostic evaluation.

Please review the contents of the article and add the appropriate references if you can. 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.