Nutmeg liver
Last revised by Mina Sameh Rizk on 21 Jul 2023
Citation, DOI, disclosures and article data
Citation:
D'Souza D, Rizk M, Skalina T, et al. Nutmeg liver. Reference article, Radiopaedia.org (Accessed on 06 May 2024) https://doi.org/10.53347/rID-1746
rID:
1746
Article created:
2 May 2008,
Donna D'Souza
Disclosures:
At the time the article was created Donna D'Souza had no recorded disclosures.
View Donna D'Souza's current disclosures
Last revised:
21 Jul 2023,
Mina Sameh Rizk
Disclosures:
At the time the article was last revised Mina Sameh Rizk had no financial relationships to ineligible companies to disclose.
View Mina Sameh Rizk's current disclosures
Revisions:
17 times, by
11 contributors -
see full revision history and disclosures
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Synonyms:
- Nutmeg type liver
- Nutmeg hepatic appearance
A nutmeg liver appearance is due to a perfusion abnormality of the liver usually as result of hepatic venous congestion. When hepatic veins are congested, contrast is prevented from diffusing through the liver in a normal manner. This results in a mottled pattern of contrast enhancement in the arterial and early portal venous phases with decreased enhancement of the liver periphery. The areas of decreased enhancement represent decreased portal flow, hepatic congestion and ischemia. On delayed images parenchymal enhancement becomes more uniform.
Conditions associated with hepatic venous congestion include:
Budd-Chiari syndrome (the caudate lobe may enhance normally as it has a separate draining vein directly into the IVC)
References
- 1. Reuther WL, Newman CA, Smith RE et-al. Gastrointestinal case of the day. Primary leiomyosarcoma of the IVC with Budd-Chiari syndrome. Radiographics. 19 (1): 248-51. Radiographics (full text) - Pubmed citation
- 2. Dähnert W. Radiology review manual. Lippincott Williams & Wilkins. (2003) ISBN:0781738954. Read it at Google Books - Find it at Amazon
- 3. Hilscher M & Sanchez W. Congestive Hepatopathy. Clinical Liver Disease. 2016;8(3):68-71. doi:10.1002/cld.573 - Pubmed
Incoming Links
Articles:
Cases:
- Radiation-induced esophagopericardial fistula
- Budd-Chiari syndrome
- Chronic congestion "nutmeg" liver (gross pathology)
- Budd-Chiari syndrome
- Double outlet right ventricle
- Budd-Chiari syndrome
- Massive pericardial effusion, nutmeg liver
- Nutmeg liver
- Budd-Chiari syndrome
- Aggressive lung cancer with cardiac metastases, pulmonary artery tumor thrombus, and Budd-Chiari
- Nutmeg liver: Budd-Chiari syndrome
- Nutmeg liver
- Budd-Chiari syndrome
- Nutmeg appearance of the liver
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