Assessing Hepatomegaly

Pulsatile hepatomegaly in constrictive pericarditis.

In a study of 30 consecutive patients with constrictive pericarditis diagnosed by clinical, radiological, and echocardiographic criteria 21 (70%) were found to have pulsatile hepatomegaly. The pulsations were felt clinically and confirmed by external hepatic recordings. These pulsations conformed almost identically to the jugular venous pulsations in the neck. The hepatic pulsations disappeared...

A happy ending in hepatomegaly.

DESCRIPTION A 48-year-old woman was referred to the gastroenterology outpatient department under the ‘2-weekwait’ referral system for suspected cancer. She complained of a 5-week history of nausea, vomiting, anorexia and epigastric pain. The patient also felt she had lostweight butwas unable to quantify this. On examination she had no stigmata of chronic liver disease but she had massive tender...

Hepatomegaly and multiple liver lesions.

Accepted 21 January 1998 A 33-year-old man was referred for possible liver transplantation. The patient was initially diagnosed at birth when he presented with an enlarged liver and episodes of hypoglycaemia. A liver biopsy at the time showed pale hepatic cells by virtue of cytoplasmic granularity and periportal nuclear ballooning (figure 1). He was treated initially with dietary modifications ...

Hepatomegaly with bull's eye calcifications.

A woman aged 35 years from the Philippines presented with epigastric discomfort associated with an epigastric mass. On examination the liver was markedly enlarged.

Hepatomegaly in neonates and children.