Congestive hepatopathy

Congestive hepatopathy includes a spectrum of hepatic derangements that can occur in the setting of right-sided heart failure (and its underlying causes). If there is subsequent hepatic fibrosis the term cardiac cirrhosis may be used. The condition can rarely occur as a result of non-cardiac causes (e.g. renal arteriovenous malformation).

Congestive hepatopathy resulting from passive hepatic congestion is caused by stasis of blood within the liver parenchyma due to compromise of hepatic venous drainage. Prolonged exposure to elevated hepatic venous pressure may lead to liver fibrosis and cirrhosis. 

Underlying conditions include 7-9

Elevation of total serum bilirubin level can occur up to 70% of patients with congestive hepatopathy 1.

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

For CT appearances of a nutmeg liver, consider:

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Article information

rID: 24281
Section: Gamuts
Tag: cases, cases
Synonyms or Alternate Spellings:
  • Congestive hepatopathy (CH)

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