Possible Causes for Hepatic Bruit Hepatocellular Carcinoma For example, they occasionally hear rushing sounds (hepatic bruits, which are due to blood rushing through blood vessels inside the cancer) or scratchy sounds (friction rubs [merckmanuals.com] Occasionally, a hepatic friction rub or bruit develops. [merckmanuals.com] Hepatic Arteriovenous Malformation Hepatic AVMs can lead to portal hypertension, biliary disease, and high output cardiac failure secondary to shunting between the hepatic artery and vein. 18 A hepatic bruit [aafp.org] Hepatoblastoma What is Hepatoblastoma? Hepatoblastoma is a rare, malignant (cancerous) tumor of the liver. It is found 90 percent of the time before 3 years of age. The cause of hepatoblastoma is most often not known. Some genetic disorders put a child at greater risk. Hepatoblastoma Symptoms An increased swelling of the belly[…] [cincinnatichildrens.org] Liver Hemangioma Hemangioma is the most frequent benign solid tumor of the liver. It is well known that a giant liver hemangioma carries the risk of spontaneous rupture, followed by hemoperitoneum and hemorrhagic shock with possible fatal outcome. This is a case report of the spontaneous rupture of a giant cavernous hemangioma of[…] [ncbi.nlm.nih.gov] Alcoholic Hepatitis >12,000 with left shift Hepatic encephalopathy Hepatic systolic bruit Maddrey discriminant factor ≥32 [4], [5] Exclusion Criteria Concomitant bacterial infection Active GI [wikijournalclub.org] bruit Associated with: hepatorenal syndrome, gastrointestinal (GI) bleeding Alcoholic hepatitis has 20% prevalence among individuals with alcoholism. [clinicaladvisor.com] Hepatic bruits may be heard. Splenomegaly is uncommon. Ascites and hepatic encepalopathy are common in severe disease but varices are not common. [euroliver.org] Heiner Syndrome The liver was palpable 6cm below the right costal margin with a liver span of 10cm, firm, non-tender with no hepatic bruit. [ncbi.nlm.nih.gov] Hereditary Hemorrhagic Telangiectasia Type 2 Hepatic bruit is present on auscultation in most cases, and the liver may be pulsatile. [phaonlineuniv.org] Hepatic AVMs can lead to portal hypertension, biliary disease, and high output cardiac failure secondary to shunting between the hepatic artery and vein. 18 A hepatic bruit [aafp.org] Medical history and physical examination (listening for an abdominal bruit) showed no hepatic involvement. [jmg.bmj.com] Alcoholic Liver Disease Most patients with moderate disease are undernourished and present with fatigue, fever, jaundice, right upper quadrant pain, tender hepatomegaly, and sometimes a hepatic bruit [merckmanuals.com] Indian Childhood Cirrhosis In severe cases, a hepatic bruit may be noticed. The ponderal curve becomes flat. [symptoma.com] Evans Syndrome – Liver not palpable – Spleen-not palpable • Percussion: – No evidence of ascites • Auscultation : – No abnormality detected – No hepatic bruit and renal bruit – Bowel sounds [slideshare.net] Metastatic Liver Carcinoma Hepatic bruits and pleuritic-type pain with an overlying friction rub are uncommon but characteristic. [msdmanuals.com] Liver Metastasis Hepatic bruits and pleuritic-type pain with an overlying friction rub are uncommon but characteristic. [merckmanuals.com] Hereditary Hemorrhagic Telangiectasia Hepatic bruit is present on auscultation in most cases, and the liver may be pulsatile. [phaonlineuniv.org] Hepatic AVMs can lead to portal hypertension, biliary disease, and high output cardiac failure secondary to shunting between the hepatic artery and vein. 18 A hepatic bruit [aafp.org] Auscultation of the abdomen generally reveals a hepatic bruit and the liver is often pulsatile. [doi.org] Adrenal Neuroblastoma bruit. [rroij.com] […] margin, firm-hard in consistency, surface was irregular, margin was irregular, upper border of liver dullness found in 4th intercostal space in right midclavicular line, no hepatic [rroij.com] Pulmonary Tumor Embolism bruit audible over the liver. [ispub.com] Abdominal exam revealed diffusely tender abdomen, with hugely enlarged, tender liver, six fingers below costal margin, and firm in consistency, smooth outline, sharp edges and hepatic [ispub.com] Infantile Hepatic Hemangioendothelioma Less common presentations include splenomegaly, jaundice, ascites, gastrointestinal bleeding, anemia, feeding difficulties, and hepatic bruit. [journals.lww.com] Cryptogenic Cirrhosis There was no hepatic bruit or ascites. [hindawi.com] Hemangiosarcoma bruits may be audible on auscultation due to the vascular nature of the tumour.18 Haemoperitoneum secondary to spontaneous tumour rupture occurs in 17–27% of cases,17 and [emjreviews.com] weight loss, and anorexia are common symptoms of HAS, but many cases can be asymptomatic.5 Examination findings include hepatomegaly, jaundice, ascites,17 and, rarely, hepatic [emjreviews.com] Chronic Alcoholism Most patients with moderate disease are undernourished and present with fatigue, fever, jaundice, right upper quadrant pain, tender hepatomegaly, and sometimes a hepatic bruit [merckmanuals.com] Hepatobiliary Disorder Auscultation of the abdomen may reveal bruits in hepatic arteriovenous malformations. Hepatomegaly can be present, but a cirrhotic liver may actually be small in size. [clinicalgate.com] Malignant Neoplasm of the Liver Occasionally, a hepatic friction rub or bruit develops. [merckmanuals.com] Neoplasm of the Liver Occasionally, a hepatic friction rub or bruit develops. [merckmanuals.com] West Syndrome Spleen not palpable Percussion: Upper border of liver dullness : Rt. 5th ICS Shifting dullness: Absent Auscultation: Bowel sound : Present Bruit (Hepatic / Renal) : Absent [slideshare.net] Hemangioma KEYWORDS: DIHH; cardiac failure; distributive shock; hepatic hemangioma; neonatal shock; vascular shunt [ncbi.nlm.nih.gov] Our patient was subsequently noted to have bruits over his liver. WHY AN EMERGENCY PHYSICIAN SHOULD BE AWARE OF THIS? [ncbi.nlm.nih.gov] Magnetic resonance imagine performed after stabilization in the pediatric intensive care unit verified the presence of diffuse infantile hepatic hemangiomas. [ncbi.nlm.nih.gov] Shock KEYWORDS: DIHH; cardiac failure; distributive shock; hepatic hemangioma; neonatal shock; vascular shunt [ncbi.nlm.nih.gov] Our patient was subsequently noted to have bruits over his liver. WHY AN EMERGENCY PHYSICIAN SHOULD BE AWARE OF THIS? [ncbi.nlm.nih.gov] Magnetic resonance imagine performed after stabilization in the pediatric intensive care unit verified the presence of diffuse infantile hepatic hemangiomas. [ncbi.nlm.nih.gov] Renal Arteriovenous Fistula Physical examination was remarkable for a right flank bruit. [ncbi.nlm.nih.gov] An abdominal ultrasound revealed an AVF originating from the distal right renal artery and dilated suprarenal inferior vena cava and hepatic veins. [ncbi.nlm.nih.gov] Chronic Hepatopathy […] heard over the liver Hepatocellular carcinoma, alcoholic hepatitis, arteriovenous malformation (rare) Age and Chronic Liver Disorders in Adults Chronic liver disorders tend [medscape.com] […] effusion, S3 gallop Cardiac cirrhosis Gynecomastia, testicular atrophy Cirrhosis Peripheral edema, signs of ascites, hepatosplenomegaly, caput medusa Cirrhosis Arterial bruit [medscape.com] Phlegmonous Esophagitis hepatic friction rub - Ascites with blood (sudden intra-abdominal hemorrhage) - Paraneoplastic syndromes: hypoglycemia, erythrocytosis, watery diarrhea - METASTASIS: lung [quizlet.com] Chemical carcinogens CLINICAL FEATURES OF HCC: - RUQ discomfort, right shoulder pain - Jaundice - Weakness - Weight loss +/- fever (if central necrosis) - Hepatomegaly, bruit [quizlet.com] Hepatitis A minority have an audible bruit in the right upper quadrant, believed to be due to increased blood flow in the hepatic artery[ 14 ]. [doi.org] Jaundice and ascites are universal and a significant number of patients have hepatic encephalopathy[ 13 ]. If palpable, the liver is usually enlarged and tender. [doi.org] Liver Failure bruit may be present. [gi.org] […] beats per minute, temperature >38 °C or 12 breaths per minute, and white blood cell count >12,000 or In addition to SIRS criteria, tender hepatomegaly and occasionally, hepatic [gi.org]
