Liver Firm: Causes & Reasons

Possible Causes for Liver Firm

[…] incidence decreasing in India ,Sri lanka affects 1-3 yrs age group >1 children in family affected growth retardation ascites liver-- enlarged, firm, sharp edges, fine granular [shakuntalapgmeenotes.blogspot.com]

• The liver is firm, enlarged, more than 2kgs in weight. • Appears yellow & greasy. • Later the size shrinks to almost about a kg due to fibrosis, which appears as macro [slideshare.net]

[…] margin) and firm. [ncbi.nlm.nih.gov]

Cardiac Cirrhosis

Hepatomegaly Hepatomegaly is common, usually presenting as a firm, hard liver. [emedicine.medscape.com]

Description: The congested liver is usually enlarged and firm, often associated with slight ... usually masked by s/s of right-sided heart failure ... – PowerPoint PPT presentation [powershow.com]

With cirrhosis, the liver often becomes small and firm and may feel like a rock when it is felt in the upper abdomen. Edema or swelling of your legs. [verywell.com]

Congenital Liver Cirrhosis

The liver was enlarged (450 gm) and firm to hard in consistency. The capsular surface showed pin point to pin head sized vague nodules. [indianpediatrics.net]

The liver is typically palpable and firm, with a blunt edge, but is sometimes small and difficult to palpate. Nodules usually are not palpable. [merckmanuals.com]

Hepatomegaly with firm to hard liver on palpation, particularly the left lobe and nephromegaly in those having ARPKD are the additional physical findings in CHF [ 12 ]. [aclr.com.es]

Primary Biliary Cirrhosis

During the physical examination, the doctor may feel an enlarged, firm liver (in about 25% of people) or an enlarged spleen (in about 15%). [merckmanuals.com]

However, in many people, the disorder is discovered long before symptoms appear because results of routine blood tests to evaluate the liver are abnormal. [merckmanuals.com]

However, in many people, the disorder is discovered long before symptoms appear because results of routine blood tests to evaluate the liver ( liver function tests ) are abnormal [merckmanuals.com]

Cryptogenic Cirrhosis

CARDIAC CIRRHOSIS Clinic a l featu r es · Mild jaundice · Liver dysfunction · Hepatomegaly – firm, non tender • *Ascites · Peripheral edema · Oesophageal bleeding · Encephalopathy [medicscientist.com]

The liver is typically palpable and firm, with a blunt edge, but is sometimes small and difficult to palpate. Nodules usually are not palpable. [merckmanuals.com]

Its surface is irregular, the consistency is firm, and the color is often yellow (if associated with steatosis). [en.wikipedia.org]

Liver Cirrhosis

These investigators found good agreement beyond chance for liver firmness (κ = 0.72), spleen size (κ = 0.66), and stated that agreement for liver enlargement was similar [ncbi.nlm.nih.gov]

Due to their rarity, no firm guidelines have been established for the management of bleeding colonic varices, and there is a limited evidence base. [wjgnet.com]

SENSITIVITY 95%Cl SPECIFICITY 95% Cl Ascites 7 0.34 0.22–0.49. 0.95 0.89–0.98 Collateral circulation 3 0.42 0.26–0.61 0.94 0.71–0.99 Encephalopathy 3 0.15 0.06–0.33 0.98 0.97–0.99 Firm [ncbi.nlm.nih.gov]

Macronodular Cirrhosis

A physician can sometimes identify early stages of cirrhosis by gently pressing the abdomen to determine whether the liver is enlarged and firm. [nmihi.com]

Its surface is irregular, the consistency is firm, and the color is often yellow (if associated with steatosis). [en.wikipedia.org]

During later stages of the disease the liver shrinks, causing an enlarged spleen which a physician may also identify by gently touching the abdomen. [nmihi.com]

Portal Cirrhosis

Enlarged liver. Weakness. [marylandhearingcenter.com]

The liver is typically palpable and firm, with a blunt edge, but is sometimes small and difficult to palpate. Nodules usually are not palpable. [merckmanuals.com]

Squamous cell carcinoma ( SCC) This type of skin cancer may look like small, firm nodules on the skin. [marylandhearingcenter.com]

Syphilitic Liver Cirrhosis

In biliary cirrhosis, the liver is large, firm, and usually smooth. A cut section reveals a reddish-yellow surface. [henriettes-herb.com]

[…] is very soft and spongy A liver with cirrhosis is very firm and hard The exact cause of cirrhosis is not known Cirrhosis of the liver is an irreversible condition in which [seslisozluk.net]

About 10% of patients have lesions in other organs, such as the eyes (uveitis), bones (periostitis), joints, meninges, kidneys (glomerulitis), liver (hepatitis), or spleen [msdmanuals.com]

Hepatosplenic Amyloidosis

The physical examination showed the liver to be firm and enlarged accompanied by pedal edema, the spleen was not palpable. [ispub.com]

Secondary Biliary Cirrhosis

This is followed by ductopenia, liver cell necrosis & cirrhosis. [gen9mdforum.forumegypt.net]

Gross Size : enlarged Consistency : firm due to fibrosis Surface & cut section : micronodular cirrhosis Colour : green bile stained Size : enlarged Consistency : firm due [gen9mdforum.forumegypt.net]

Amyloidosis

[…] metastatic to the liver. [mayoclinicproceedings.org]

Hepatomegaly (enlarged liver). [dermnetnz.org]

Hepatology. 1997; 25: 118–121 Crossref | PubMed | Scopus (78) | Google ScholarSee all References If the Iiver is palpable and firm, the clinician frequently suspects disease [mayoclinicproceedings.org]

Metastatic Liver Carcinoma

Abstract The efficacy of hepatic arterial infusion chemotherapy (HAICT) in the treatment of primary or metastatic liver carcinoma was evaluated in 37 patients. The infusions were administered through a catheter that was placed in the hepatic artery, either surgically or by percutaneous puncture of the femoral[…] [ncbi.nlm.nih.gov]

Wilson Disease

Wilson disease is a genetic disorder characterized by the accumulation of copper due to mutations of ceruloplasmin, which is involved in its transport and excretion. Hepatic, neurologic and psychiatric symptoms may be encountered. The diagnosis is made by biochemical studies that determine values of copper in urine[…] [symptoma.com]

Abdominal Neoplasm

Liver cancer can cause a firm, lumpy mass in the right upper quadrant. [mountsinai.org]

Liver enlargement (hepatomegaly) can cause a firm, irregular mass below the right rib cage, or on the left side in the stomach area. [mountsinai.org]

Rhabdomyomatous Mesenchymal Hamartoma

[…] tissue (Burt: MacSween's Pathology of the Liver, 7th Edition, 2017) Size ranging from a few centimeters to 30 cm Usually no necrosis, hemorrhage or calcification Becomes [pathologyoutlines.com]

[…] intrahepatic satellite nodules Well circumscribed mass with mixed solid and cystic areas Cysts contain clear, yellow or gelatinous fluid separated by white, yellow or tan firm [pathologyoutlines.com]

Aflatoxicosis

In chronic cases the liver was firm orange-yellow and there was yellowish effusions in the organic cavities and edema of the spiral colon. [scienceopen.com]

CHRONIC TOXICITY: Gross Pathology: Liver - atrophied, firm, pale yellow-brown. [wildpro.twycrosszoo.org]

Pathologic findings Reports of animal autopsies from horse suggest findings such as firm and pale colored liver, yellow ascites and a collection of pleural fluid. [symptoma.com]

Actinobacillus Infection

This infection has been diagnosed in Lepus americanus - Snowshoe hares found dead or with signs of sickness. ( J1 .24.w12) Pathology WATERFOWL SEPTICAEMIA Gross: Liver - firm [wildpro.twycrosszoo.org]

[…] white foci Lungs - congestion and oedema Heart - sero-sanguinous fluid in pericardial sac, epicardial petechiation Kidneys - small haemorrhages SEPTICAEMIA Histopathology: Liver [wildpro.twycrosszoo.org]

Diffuse Neonatal Hemangiomatosis

On abdominal exam there was huge firm liver, 6 cm below the costal margin. [ncbi.nlm.nih.gov]

Hemangioendothelioma

[…] transplantation Gross description Multiple (80%), tan gray, firm, circumscribed and focally confluent nodules up to 12 cm with infiltrative borders May involve venous structures [pathologyoutlines.com]

Physical examination showed hepatomegaly with liver palpable 4 cm below right costal margin. The surface of the liver was smoothly lobulated, firm with rounded edges. [cytojournal.com]

[…] peripheral nodules with capsular retraction by CT scan Prognostic factors High cellularity is unfavorable but histology is otherwise not prognostic Treatment Resection, liver [pathologyoutlines.com]

Hereditary North American Indian Childhood Cirrhosis

Examination shows slight enlargement of the liver which is fairly firm and non-tender. ,The spleen is usually not felt. 2. Intermegiate stage. [documents.tips]

The liver is huge and may be 6-15 cm below the costal margin. It is smooth, very firm, bordering on hardness, nontender and with a leafy edge. [documents.tips]

There are two broad groups of cases--one with a slow course lasting 6 months to 2-3 years, in which a firm liver enlargement is the chief feature throughout the illness and [documents.tips]

Chronic Hepatic Schistosomiasis

Orthotopic live related liver transplant was done. We received a firm enlarged liver weighing 1175 grams and measuring 27×17×6cm. [tropicalgastro.com]

A firm liver edge was palpable two centimeters below his right costal margin and his spleen tip was palpable near his umbilicus. [coursera.org]

Prostate Lymphoma

Rectal examination revealed a grossly enlarged and firm prostate with normal consistency and a right inguinal lymphoadenopathy. [latunisiemedicale.com]

His blood tests showed a normal full blood count, liver and renal function tests. The serum Prostate-specific Antigen (PSA) was 0.6 ng/ml (Normal <4ng/ml). [latunisiemedicale.com]

Amebic Hepatitis

The left lobe of the liver is in the epigastrium and is therefore not protected by the rib cage. The normal liver is firm and has a smooth surface. [mhmedical.com]

The liver parenchyma is divided into functional units called lobules ( Figures 42-1 and 42-2 ). [mhmedical.com]

Tongue Amyloidosis

The liver tissue is firm and has a waxy appearance--although this is difficult to appreciate in an image. This is a closer view of the cut surface of this liver. [peir.path.uab.edu]

hepatomegaly, may be firm with waxy pale discoloration Tongue/muscle - macroglossia/muscle enlargement Skin - waxy skin/ecchymosis Larynx - smooth surfaced nodule with [medicine.uiowa.edu]

Images This is a gross picture of liver from this case. Note the pale, swollen appearance of this liver. [peir.path.uab.edu]

Kidney Fibrosarcoma

Per abdomen examination revealed a mass in the left lumbar region, which was firm to hard in consistency. The liver and spleen were not palpable. [jcdr.net]

Per abdomen examination revealed a mass measuring 12 × 10 cm in the right lumbar region, which was firm to hard in consistency. [ijpmonline.org]

Liver and spleen were not palpable and there was no free fluid in the abdomen. Kidney function tests were within normal limits. [ijpmonline.org]

Congenital Hepatic Fibrosis

The liver was extremely firm and enlasged. [jpatholtm.org]

All siblings were examined clinically; and ultrasonography, endoscopy and liver biopsy were performed if there was firm hepatomegaly. [ncbi.nlm.nih.gov]

The liver is firm, with a mildly nodular surface. Laboratory workup may reveal mild elevations in liver enzymes. [wjgnet.com]

Biliary Atresia

The abdomen may be swollen with a firm, enlarged liver. Weight loss and irritability develop as the jaundice increases. [medicinenet.com]

These symptoms and an enlarged, firm liver are usually first noticed about 2 weeks after birth. [msdmanuals.com]

Liver Hematoma

On examination, the patient was disoriented, had stigmata of chronic liver disease, edema, ascites, and a palpable firm nodular liver in the epigastrium. [acgcasereports.gi.org]

If you've ever hit your leg on something, you may have had a raised, firm bruise. This is an example of a hematoma. [study.com]

The same concept applies when the hematoma occurs on your liver. Causes So, what causes a hepatic hematoma? [study.com]

Congenital Liver Cyst

On examination the liver is firm and enlarged. The spleen and kidneys may be enlarged. [abdominalkey.com]

A firm insensitive mass was palpated in the right upper quadrant. Amebic and hydatid serologies were negative. The liver function was normal. [ispub.com]

It may be difficult to tell whether the organ being palpated is liver and spleen or the kidneys. [abdominalkey.com]