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81 Possible Causes for Abdominal Distension, Hepatomegaly, Increased Echogenicity

  • Portal Cirrhosis

    Symptoms: abdominal distension, weight loss, fatigue, jaundice, pruritus, coffee-ground vomit, melaena and confusion.[kenhub.com] The presence of this triad in a patient with unexplained hepatomegaly is indicative of portal cirrhosis.[ncbi.nlm.nih.gov] Parenchymal changes seen in patients with diffuse liver disease and cirrhosis include surface nodularity, increased echogenicity, coarsened echotexture, and a high caudate-to-right[e-ultrasonography.org]

  • Fatty Liver

    Furthermore, these cases of hepatomegaly and fatty liver have been also in the context of concomitant extrahepatic side effects.[ncbi.nlm.nih.gov] Ultrasound findings are those of hepatic steatosis, with increased echogenicity and coarsened echotexture of the liver (see also: grading of diffuse hepatic steatosis ) if[radiopaedia.org] Ultrasonography reveals a "bright" liver with increased echogenicity.[en.wikipedia.org]

  • Cytomegalovirus Infection

    ., 6-weeks-old, born small for gestational age, was admitted in our Hospital for gastrointestinal signs: diarrhea, abdominal distension, observed three days earlier.[ncbi.nlm.nih.gov] Radiologic examinations were carried out, and the computed tomography scan revealed a hepatomegaly and a chest X-ray showed evidence of a unilateral pleural effusion.[ncbi.nlm.nih.gov] Periventricular band of increased echogenicity: edema or calcification? Pediatr Radiol 1998 ; 28 : 83 –85 Frank DJ, DeVaux WD, Perkins JR, Perrin EV.[ajnr.org]

  • Budd-Chiari Syndrome

    CASE SUMMARY: A 33-year-old man who presented with abdominal distension, hematemesis, shortness of breath was found to have liver cirrhosis, portal hypertension and Budd-Chiari[ncbi.nlm.nih.gov] Hepatic artery shows increased spectral speed (190 cm/s).[jbn.org.br] Budd-Chiari Syndrome (BCS) is a hepatic venous outflow tract obstruction and involves abdominal pain, hepatomegaly and high-gradient ascites.[ncbi.nlm.nih.gov]

  • Congenital Hepatic Fibrosis

    Besides, 15(60%) patients presented with hematemesis, 12(48%) had abdominal distension, 5(20%) were picked up on screening of siblings and 5(20%) were referred from general[ncbi.nlm.nih.gov] The age at presentation ranged from 1.8-14 years (mean: 7.5 years); clinical manifestations at diagnosis were splenomegaly (12), hepatomegaly (11), failure to thrive (10),[ncbi.nlm.nih.gov] Sixty-nine percent of patients had enlarged left lobes on magnetic resonance imaging, 92% had increased liver echogenicity on ultrasonography, and 65% had splenomegaly.[ncbi.nlm.nih.gov]

  • Liver Cirrhosis

    Abstract A 78-year-old man presented with cutaneous blisters of the limbs and abdominal distension. He had been treated for various diseases, including liver cirrhosis.[ncbi.nlm.nih.gov] Cardinal symptoms include fasting hypoglycemia, lactic acidosis and hepatomegaly as well as neutropenia.[ncbi.nlm.nih.gov] Findings that suggest the presence of cirrhosis include: Small, contracted liver Surface nodularity, increased echogenicity of liver Splenomegaly Ascites Collateral veins[hiv.va.gov]

  • Infantile Hepatic Hemangioendothelioma

    Frequent postprandial vomiting and progressive abdominal distension occurred 4 months later.[ncbi.nlm.nih.gov] We report a case of hepatic hemangioendothelioma in an 8- month-old female infant who presented with hepatomegaly and respiratory distress, which was successfully treated[ncbi.nlm.nih.gov] On Sonography they are predominantly hypoechoic or mixed echogenic lesions with increased flow in the liver. CDI demonstrates no appreciable flow within the lesions.[ijri.org]

  • Subcapsular Liver Hematoma

    During surgery, systolic blood pressure decreased to less than 90 mmHg, heart rate increased to more than 120 beats/min, and abdominal distension became prominent.[traumaimpro.org] Congenital malformation of liver NOS nodular, focal K76.89 Hypertrophy, hypertrophic liver R16.0 ICD-10-CM Diagnosis Code R16.0 Hepatomegaly, not elsewhere classified 2016[icd10data.com] This creates interstices in the hematoma which result in increased echogenicity and thus, the echoes seen in our patient.[sonoworld.com]

  • Mesenteric Vein Thrombosis

    Severe subcontinuous abdominal pain out of proportion to the physical findings and abdominal distension were the major symptoms in both patients.[ncbi.nlm.nih.gov] ALP isoenzyme test (Medical Encyclopedia) Ascites (Medical Encyclopedia) Diet - liver disease (Medical Encyclopedia) Hepatic encephalopathy (Medical Encyclopedia) Hepatomegaly[icdlist.com] In abdominal ultrasonography it was observed an increased PV diameter ( 1.5 cm ) with echogenic material inside and no flow at color and spectral Doppler , compatible with[thejh.org]

  • Pancreatitis

    Between 50 and 90 percent of patients have signs of abdominal distension or muscle spasms with epigastric pain and left upper-quadrant tenderness. 3, 6 Other signs are fever[web.archive.org] Other signs are frequently reported in PLHIV; diarrhea, hepatomegaly, fever, leukopenia, anemia or hypoalbuminemia and this in relation to their state of immunosuppression[omicsonline.org] […] pancreatic volume with a marked decrease in echogenicity 19 volume increase quantified as a pancreatic body exceeding 2.4cm in diameter, with marked anterior bowing and surface[radiopaedia.org]

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