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Nutmeg Liver
Chronic Passive Congestion of Liver

Presentation

With transmitted central venous hypertension, the hepatojugular reflex is present, unlike in hepatic congestion due to Budd-Chiari syndrome. [merckmanuals.com]

[…] des dix dernières années ; et études entièrement consacrées à l'HF congestive, à la dapagliflozine et aux SGLT-2i., Cureus | Current Status of Dapagliflozin in Congestive Heart Failure Here, we report an interesting case of congestive hepatopathy that presented [lalanguefrancaise.com]

Entire Body System

  • Asymptomatic

    Most patients are asymptomatic. However, moderate congestion causes right upper quadrant discomfort (due to stretching of the liver capsule) and tender hepatomegaly. Severe congestion leads to massive hepatomegaly and jaundice. [merckmanuals.com]

Liver, Gall & Pancreas

  • Jaundice

    Clinical evaluation Congestive hepatopathy is suspected in patients who have right-sided heart failure, jaundice, and tender hepatomegaly. [merckmanuals.com]

  • Hepatomegaly

    However, moderate congestion causes right upper quadrant discomfort (due to stretching of the liver capsule) and tender hepatomegaly. Severe congestion leads to massive hepatomegaly and jaundice. [merckmanuals.com]

    The majority (80%) of patients will have hepatomegaly, and in severe cases have peripheral edema, ascites and/or pleural effusions 7. [radiopaedia.org]

Cardiovascular

  • Heart Disease

    Underlying conditions include 7-9: pulmonary hypertension tricuspid regurgitation constrictive pericarditis restrictive cardiomyopathy congenital heart disease, especially those treated with a Fontan procedure Markers If paracentesis is performed, the [radiopaedia.org]

Treatment

Targets underlying heart failure Treatment is directed at the underlying heart failure. Click here for Patient Education NOTE: This is the Professional Version. [merckmanuals.com]

Cleveland Clinic Newsroom, Cleveland Clinic-Led Trial Finds That Increasing Salt Intake Does Not Affect Patients Hospitalized with Congestive Heart Failure During Treatment – Cleveland Clinic Newsroom Articles that match the following criteria are included [lalanguefrancaise.com]

Doppler evaluation of the effects of pharmacological treatment of portal hypertension. Ultrasound Med Biol.1999; 25(6): 923-32. Berzigotti A, Rinaldi MF, Magalotti D, Morelli MC, Zappoli P, Andreone P, t al. [sapd.es]

Prognosis

Relationship of hemodynamic indices and prognosis in patients with liver cirrhosis. Korean J Intern Med. 2004; 19(3):165-70. Macías-Rodríguez MA, Rendón-Unceta P, Martínez-Sierra MC, Teyssiere-Blas I, Díaz-García F and Martín-Herrera L. [sapd.es]

Etiology

Etiology Congestive hepatopathy resulting from passive hepatic congestion is caused by stasis of blood within the liver parenchyma due to compromise of hepatic venous drainage. [radiopaedia.org]

Pathophysiology

Hepatofugal Flow in the Portal Venous System: Pathophysiology, Imaging, Findings, and Diagnostic Pitfalls. RadioGraphics 2002; 22: 123–140. Cárdenas A and Sánchez-Fueyo A. Disfunción circulatoria en la cirrosis. [sapd.es]

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