Hepatomegaly describes an enlarged liver. There are many causes of hepatomegaly, and learning some mnemonics might help you to memorise some of them!
Sometimes it is associated with an enlarged spleen – in which case it is referred to as hepatosplenomeagly. See also splenomegaly.
In hepatomegaly, a palpable liver may be felt on abdominal examination.
Massive hepatomegaly = “CRAM”
- Cancer – primary and secondary
- Right heart failure
- Alcoholic liver disease with fatty infiltration
- Myeloproliferative diseases (i.e. Chronic myeloid laekaemia, Rubra Vera, Essential Throbocythaemia)
all of the above plus
- Fatty liver – from diabetes, obesity
- Iron – haemochromatosis (excess iron)
- Laeukaemia – chronic
All of the above plus: