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. [msdmanuals.com] Hepatoblastoma Hepatoblastoma represents the child's most frequent malignant hepatic tumor. We present the case of a one-year old prematurely born patient with an abdominal mass. Ultrasound and CT scan demonstrated a solid hepatic tumor. Serum alpha fetoprotein level was increased. He presented thrombocytosis and a left lobe[…] [ncbi.nlm.nih.gov] 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] 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] 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] On examination, the liver may be enlarged and tender, and a hepatic bruit has been reported. 13 Other classic signs of liver disease such as parotid enlargement, Dupuytren [mdedge.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] 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] Patients with acute alcoholic hepatitis typically present with jaundice and ascites. A hepatic bruit may be heard due to the increased blood flow in the hepatic artery. [clinicaladvisor.com] Liver Metastasis Hepatic bruits and pleuritic-type pain with an overlying friction rub are uncommon but characteristic. [msdmanuals.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] 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] Hepatitis bruit. [doi.org] 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] About 80% of alcoholic hepatitis patients have established cirrhosis and patients with severe episode of alcoholic hepatitis [modified discriminant function (mDF) 32] have [doi.org] Cryptogenic Cirrhosis There was no hepatic bruit or ascites. [hindawi.com] Infantile Hepatic Hemangioendothelioma Less common presentations include splenomegaly, jaundice, ascites, gastrointestinal bleeding, anemia, feeding difficulties, and hepatic bruit. [journals.lww.com] Neoplasm of the Liver Occasionally, a hepatic friction rub or bruit develops. [merckmanuals.com] Fibrolamellar Hepatocellular Carcinoma […] abdominal examination may reveal hepatomegaly, which can be smooth or hard and irregular, abdominal distension and splenomegaly due to portal hypertension a systolic liver bruit [geekymedics.com] […] may be audible over the tumour Differential diagnosis – liver failure/liver mass Other causes of liver failure include: acute liver failure due to hepatitis, drug overdose [geekymedics.com] […] spider naevi, gynaecomastia, caput medusae and peripheral oedema there may be signs of decompensation such as ascites, peritonitis, sepsis, jaundice, haematemesis/malaena and hepatic [geekymedics.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] Liver Failure bruit may be present. [gi.org] 100 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] Metastatic Liver Carcinoma Hepatic bruits and pleuritic-type pain with an overlying friction rub are uncommon but characteristic. [msdmanuals.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] 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] 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] 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] Chronic Liver Disease […] 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] Malignant Neoplasm of the Liver Occasionally, a hepatic friction rub or bruit develops. [merckmanuals.com] Indian Childhood Cirrhosis In severe cases, a hepatic bruit may be noticed. The ponderal curve becomes flat. [symptoma.com] Hepatic Artery Aneurysm No bruit was heard on auscultation. [academic.oup.com] She underwent a CT scan, which revealed an incidental finding of a large saccular aneurysm involving the common hepatic artery and the hepatic artery proper, measuring 6.2 [academic.oup.com] Cryoimmunoglobulinemic Syndrome NEOPLASM SECONDARY C0494165 Seizure(s) Grand Mal C0494475 Lymph Node(s) Enlarged C0497156 Abdomen Bruit Continuous Epigastrium C0518910 Abdomen Bruit Continuous Left Upper [medical-language-international.com] MENINGOCOCCEMIA ACUTE C0473877 Dyspnea At Rest C0474453 CARCINOMA OF ENDOMETRIUM C0476089 Rbc Nucleated C0483203 Tongue Laceration(s) C0433696 Amebic Meningoencephalitis C0487784 HEPATIC [medical-language-international.com] Congenital Non-Neoplastic Nevus Treatment includes hepatic lobectomy (if the liver is involved), vessel ligation or embolization, high-dose corticosteroids (2 to 4 mg per kg per day), interferon alfa-2a [aafp.org] Evaluation of these patients includes a complete blood count, auscultation for bruits, liver edge palpation, ultrasonographic or CT scans of suspicious areas and evaluation [aafp.org] 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]
