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Congestive hepatopathy

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Treatment is directed largely to removing the cause, or, where that is impossible, to modifying effects of the heart failure. Thus, therapy aimed at improving right heart function will also improve congestive hepatopathy. True nutmeg liver is usually secondary to left-sided heart failure, causing
399:, or a heart transplant (from a deceased human donor, or from a pig). Some patients may need a liver transplant; an artificial liver can be used for a short period of time (about two weeks or so) as a bridge to a transplant, or until the liver recovers. 632: 617: 303:
CT appearance of liver in congestive hepatopathy, sometimes referred to as a nutmeg liver. Due to congestion, contrast does not flow through the liver in a normal manner. Axial and coronal images in the portal venous
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represent the dilated and congested hepatic venules and small hepatic veins. The paler areas are unaffected surrounding liver tissue. When severe and longstanding, hepatic congestion can lead to
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Signs and symptoms depend largely upon the primary lesions giving rise to the condition. In addition to the heart or lung symptoms, there will be a sense of fullness and tenderness in the right
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Macroscopically, the liver has a pale and spotty appearance in affected areas, as stasis of the blood causes pericentral
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Morales A, Hirsch M, Schneider D, González G. Congestive hepatopathy: the role of the radiologist in the diagnosis.
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and hepatic veins. Central regions of the hepatic lobules are red–brown and stand out against the non-congested,
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occurs, followed later by generalised oedema. The stools are light or clay-colored, and the urine is colored by
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appearance of a liver affected by chronic passive congestion is "speckled" like a grated
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causes an engorgement of venous blood, and is most frequently due to chronic cardiac
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Giallourakis CC, Rosenberg PM, Friedman LS (2002). "The liver in heart failure".
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if you can. Unsourced or poorly sourced material may be challenged and
1799: 1417: 1303: 621: 469:. James A. Perkins (illustrator) (Tenth ed.). Philadelphia, PA. 236: 183: 247:; if congestion is due to right heart failure, it is called cardiac 1249: 979: 376:
congestive right heart failure, so treatment options are limited.
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and tender, sometimes extending several inches below the
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Treatments for heart failure include medications, an
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Increased pressure in the sublobular branches of the
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dysfunction due to venous congestion, usually due to
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Kumar, Vinay; Abbas, Abul K.; Aster, Jon C. (2021).
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There is usually more or less 420: 316:, especially those affecting the right 153:Chronic passive congestion of the liver 562:https://doi.org/10.5152/dir.2020.19673 518:The International Journal of Angiology 490: 324:), the blood being dammed back in the 1042:Small intestinal bacterial overgrowth 7: 2737: 2498:Physical medicine and rehabilitation 2747: 393:extracorporeal membrane oxygenation 363:, and radiology imaging, including 283:. On palpation, the liver is found 2634:Medical Scientist Training Program 578:Merck Manuals Professional Edition 25: 1927:Spontaneous bacterial peritonitis 1774:Exocrine pancreatic insufficiency 2766: 2756: 2746: 2736: 2727: 2726: 1672:Secondary sclerosing cholangitis 123: 31: 2767: 913:Gastric antral vascular ectasia 908:Portal hypertensive gastropathy 785:Gastroesophageal reflux disease 275:. Owing to portal obstruction, 2624:Doctor of Osteopathic Medicine 2058:Oral and maxillofacial surgery 1667:Primary sclerosing cholangitis 1517:Hepatic veno-occlusive disease 1339:Solitary rectal ulcer syndrome 59:add the appropriate references 1: 1724:Sphincter of Oddi dysfunction 442:10.1016/S1089-3261(02)00056-9 175:demonstrating perisinusoidal 2604:Bachelor of Medical Sciences 2371:Neurosurgical anesthesiology 1633:Postcholecystectomy syndrome 1152:Intestinal pseudoobstruction 760:Esophageal motility disorder 351:, and intrathoracic tumors. 44:reliable medical references 2809: 1618:Gallstone / Cholelithiasis 1142:Functional colonic disease 938:Zollinger–Ellison syndrome 2722: 819:Acute esophageal necrosis 385:ventricular assist device 381:intra-aortic balloon pump 167: 158: 50:or relies too heavily on 2558:Transplantation medicine 2449:Clinical neurophysiology 2366:Obstetric anesthesiology 2286:Interventional radiology 2046:Digestive system surgery 918:Gastric dumping syndrome 793:Laryngopharyngeal reflux 780:Diffuse esophageal spasm 267:is usually present, and 229:congestive heart failure 73:"Congestive hepatopathy" 2429:Intensive care medicine 2403:Mass gathering medicine 2248:Maternal–fetal medicine 1534:Alcoholic liver disease 1067:Bile acid malabsorption 1011:Peptic (duodenal) ulcer 2021:Cardiothoracic surgery 1544:Hepatic encephalopathy 928:Buried bumper syndrome 859:Peptic (gastric) ulcer 743:Mallory–Weiss syndrome 686:human digestive system 530:10.1055/s-0031-1284434 436:(4): 947–67, viii–ix. 345:interstitial pneumonia 305: 221:Congestive hepatopathy 173:congestive hepatopathy 140:Congestive hepatopathy 2672:Personalized medicine 2531:Reproductive medicine 2456:Occupational medicine 2410:Evolutionary medicine 1769:Pancreatic pseudocyst 1638:Porcelain gallbladder 750:Zenker's diverticulum 302: 2692:Traditional medicine 2652:Alternative medicine 2519:Addiction psychiatry 2333:Transfusion medicine 2328:Medical microbiology 2243:Gynecologic oncology 2095:Reproductive surgery 1573:Hepatorenal syndrome 1512:Budd–Chiari syndrome 1469:Autoimmune hepatitis 1294:Intestinal adhesions 1052:Short bowel syndrome 881:Functional dyspepsia 799:Esophageal stricture 765:Nutcracker esophagus 361:liver function tests 261:hypochondriac region 2714:History of medicine 2697:Veterinary medicine 2504:Preventive medicine 2356:Adolescent medicine 2198:Infectious diseases 1712:Choledocholithiasis 1583:Metabolic disorders 1549:Acute liver failure 1522:Portal hypertension 1474:Alcoholic hepatitis 1317:Radiation proctitis 1236:Mesenteric ischemia 1208:Gastroenterocolitis 1037:Blind loop syndrome 847:MĂ©nĂ©trier's disease 755:Barrett's esophagus 320:(e.g., right-sided 263:. Gastrointestinal 2662:Molecular oncology 2619:Doctor of Medicine 2609:Master of Medicine 2526:Radiation oncology 2398:Emergency medicine 2351:Addiction medicine 2318:Clinical chemistry 2313:Clinical pathology 2105:Transplant surgery 2063:Orthopedic surgery 2041:Colorectal surgery 1887:Undefined location 1878:Grynfeltt–Lesshaft 1779:Pancreatic fistula 1762:Pancreatic abscess 1717:Biliary dyskinesia 1688:Mirizzi's syndrome 1189:Large and/or small 869:Dieulafoy's lesion 738:Boerhaave syndrome 409:Ischemic hepatitis 326:inferior vena cava 306: 255:Signs and symptoms 233:gross pathological 2793:Diseases of liver 2780: 2779: 2614:Master of Surgery 2578: 2577: 2563:Tropical medicine 2509:Prison healthcare 2424:Hospital medicine 2388:Disaster medicine 2378:Aviation medicine 2193:Hospital medicine 2100:Surgical oncology 2085:Pediatric surgery 2079: 2026:Endocrine surgery 1951: 1950: 1947: 1946: 1787: 1786: 1389: 1388: 1246:Bowel obstruction 948: 947: 651: 650: 476:978-0-323-53113-9 349:pleural effusions 269:vomiting of blood 239:kernel; the dark 218: 217: 134:Medical condition 132: 131: 108: 18:Cardiac cirrhosis 16:(Redirected from 2800: 2770: 2769: 2760: 2750: 2749: 2740: 2739: 2730: 2729: 2434:Medical genetics 2419:General practice 2296:Nuclear medicine 2171:Gastroenterology 2127:Vascular surgery 2077: 2004: 1978: 1971: 1964: 1955: 1939:Pneumoperitoneum 1796: 1706:Common bile duct 1588:Wilson's disease 1578:Peliosis hepatis 1447: 1324:Proctalgia fugax 1231:Abdominal angina 1156:Ogilvie syndrome 1105:Pseudomembranous 963: 923:Gastric volvulus 888:Pyloric stenosis 699: 684:Diseases of the 678: 671: 664: 655: 601: 589: 588: 586: 584: 570: 564: 558: 552: 551: 541: 509: 503: 502: 496: 488: 460: 454: 453: 425: 397:artificial heart 214: 213: 201:Gastroenterology 163: 137: 127: 126: 118: 115: 109: 107: 66: 35: 34: 27: 21: 2808: 2807: 2803: 2802: 2801: 2799: 2798: 2797: 2783: 2782: 2781: 2776: 2718: 2707:Chief physician 2640: 2585: 2574: 2568:Travel medicine 2553:Sports medicine 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911: 909: 906: 904: 901: 899: 898:Gastroparesis 896: 894: 891: 889: 886: 882: 879: 878: 877: 874: 870: 867: 865: 864:Cushing ulcer 862: 861: 860: 857: 853: 850: 848: 845: 843: 840: 839: 838: 835: 834: 832: 830: 826: 820: 817: 815: 812: 810: 809:Megaesophagus 807: 805: 802: 800: 797: 794: 791: 786: 783: 781: 778: 776: 773: 771: 768: 766: 763: 762: 761: 758: 756: 753: 751: 748: 744: 741: 739: 736: 735: 734: 731: 727: 724: 722: 719: 717: 714: 713: 712: 709: 708: 706: 704: 700: 697: 695: 691: 687: 679: 674: 672: 667: 665: 660: 659: 656: 643: 639: 638: 634: 630: 628: 624: 623: 619: 615: 614: 611: 606: 602: 595: 579: 575: 569: 566: 563: 557: 554: 549: 545: 540: 535: 531: 527: 523: 519: 515: 508: 505: 500: 494: 486: 482: 478: 472: 468: 467: 459: 456: 451: 447: 443: 439: 435: 431: 424: 421: 414: 410: 407: 406: 402: 400: 398: 394: 390: 386: 382: 377: 370: 368: 366: 362: 354: 352: 350: 346: 342: 338: 333: 331: 327: 323: 322:heart failure 319: 315: 311: 310:hepatic veins 301: 294: 292: 291:of the ribs. 290: 289:costal margin 286: 282: 278: 274: 270: 266: 262: 254: 252: 250: 246: 242: 238: 234: 230: 226: 222: 212: 206: 202: 199: 197: 193: 189: 185: 182: 178: 174: 170: 166: 162: 157: 154: 150: 147: 143: 138: 121: 117: 106: 103: 99: 96: 92: 89: 85: 82: 78: 75: â€“  74: 70: 69:Find sources: 64: 60: 54: 53: 49: 45: 40:This article 38: 29: 28: 19: 2682:Rural health 2667:Nanomedicine 2218:Rheumatology 2149: / 2068:Hand surgery 2053:Neurosurgery 1886: 1865: 1742:Pancreatitis 1704: 1654:biliary tree 1527:Nutmeg liver 1504: 1430:Hematochezia 1381:Pruritus ani 1366:Anal abscess 1361:Anal fistula 1357:Anal fissure 1270:Constipation 1224: 1095:Appendicitis 903:Gastroptosis 893:Achlorhydria 732: 721:Eosinophilic 631: 616: 581:. Retrieved 577: 568: 556: 521: 517: 507: 465: 458: 433: 429: 423: 378: 374: 358: 334: 307: 258: 220: 219: 172: 152: 149:Nutmeg liver 148: 111: 101: 94: 87: 80: 68: 48:verification 41: 2752:Wikiproject 2541:Venereology 2486:Neonatology 2383:Dermatology 2238:Gynaecology 2230:gynaecology 2213:Pulmonology 2031:Eye surgery 1993:Specialties 1922:Peritonitis 1684:Cholestasis 1662:Cholangitis 1605:Gallbladder 1493:Fatty liver 1413:Hematemesis 1395:GI bleeding 1201:Necrotizing 1130:Lymphocytic 1125:Collagenous 1120:Microscopic 1057:Steatorrhea 958:Enteropathy 804:Inlet patch 726:Herpetiform 711:Esophagitis 389:heart valve 365:ultrasounds 337:hepatocytes 145:Other names 42:needs more 2514:Psychiatry 2500:(PM&R) 2493:Phlebology 2481:Pediatrics 2308:Anatomical 2273:Diagnostic 2253:Obstetrics 2203:Nephrology 2188:Hematology 2183:Geriatrics 2176:Hepatology 2161:Cardiology 2151:Immunology 1914:Peritoneal 1892:Incisional 1813:Congenital 1757:Hereditary 1734:Pancreatic 1698:Haemobilia 1371:Hemorrhoid 1349:Anal canal 1287:Infectious 1275:Functional 1110:Ulcerative 994:Duodenitis 933:Gastrinoma 485:1191840836 415:References 341:arterioles 205:hepatology 169:Micrograph 84:newspapers 2702:Physician 2586:education 2444:Neurology 2439:Narcology 2303:Pathology 2281:Radiology 2156:Angiology 2120:Andrology 1902:Richter's 1859:Spigelian 1854:Obturator 1844:Umbilical 1677:Ascending 1648:Bile duct 1481:Cirrhosis 1459:Hepatitis 1442:Accessory 1312:Proctitis 1163:Megacolon 1137:Dysentery 1047:Whipple's 999:Jejunitis 989:Enteritis 876:Dyspepsia 837:Gastritis 770:Achalasia 703:Esophagus 583:7 January 493:cite book 371:Treatment 355:Diagnosis 249:cirrhosis 196:Specialty 2787:Category 2732:Category 2208:Oncology 2139:medicine 2137:Internal 1985:Medicine 1832:Indirect 1827:Inguinal 1561:Pyogenic 1506:Vascular 1282:Diarrhea 1260:Volvulus 1226:Vascular 1165: / 1154: / 1115:Ischemic 1082:Appendix 972:Duodenum 842:Atrophic 716:Candidal 548:22942628 450:12516201 403:See also 285:enlarged 273:jaundice 245:fibrosis 177:fibrosis 2772:Outline 2742:Commons 2687:Therapy 2584:Medical 2147:Allergy 2115:Urology 2008:Surgery 1873:Petit's 1849:Femoral 1752:Chronic 1566:Amoebic 1334:Anismus 1100:Colitis 1027:Coeliac 1004:Ileitis 976:Jejunum 829:Stomach 733:Rupture 539:3331650 314:lesions 277:ascites 265:catarrh 98:scholar 63:removed 2762:Portal 2629:MD–PhD 1867:Lumbar 1837:Direct 1820:Hiatus 1800:Hernia 1652:Other 1418:Melena 1304:Rectum 787:(GERD) 546:  536:  483:  473:  448:  304:phase. 237:nutmeg 231:. The 207:  184:biopsy 100:  93:  86:  79:  71:  2344:Other 1792:Other 1747:Acute 1498:MASLD 1451:Liver 1425:Lower 1408:Upper 1250:Ileus 1086:Colon 980:Ileum 795:(LPR) 642:573.8 627:K76.1 318:heart 241:spots 225:liver 223:, is 181:Liver 105:JSTOR 91:books 1180:SCAD 637:9-CM 585:2020 544:PMID 499:link 481:OCLC 471:ISBN 446:PMID 383:, a 281:bile 151:and 77:news 46:for 2078:ENT 1996:and 1486:PBC 1213:IBD 1147:IBS 633:ICD 618:ICD 534:PMC 526:doi 438:doi 330:tan 171:of 2789:: 2417:/ 1650:/ 1248:: 1229:: 1025:: 640:: 625:: 622:10 576:. 542:. 532:. 522:20 520:. 516:. 495:}} 491:{{ 479:. 444:. 432:. 387:, 367:. 347:, 251:. 203:, 186:. 65:. 1977:e 1970:t 1963:v 1686:/ 1359:/ 1178:/ 1174:/ 1088:) 1084:/ 1080:( 982:) 978:/ 974:/ 970:( 677:e 670:t 663:v 635:- 620:- 610:D 587:. 550:. 528:: 501:) 487:. 452:. 440:: 434:6 190:. 116:) 112:( 102:· 95:· 88:· 81:· 55:. 20:)

Index

Cardiac cirrhosis
reliable medical references
verification
primary sources
add the appropriate references
removed
"Congestive hepatopathy"
news
newspapers
books
scholar
JSTOR

Micrograph
fibrosis
Liver
biopsy
Trichrome stain
Specialty
Gastroenterology
hepatology
Edit this on Wikidata
liver
congestive heart failure
gross pathological
nutmeg
spots
fibrosis
cirrhosis
hypochondriac region

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