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Hepatomegaly

Definition

Hepatomegaly is swelling of the liver beyond its normal size.

If both the liver and spleen are enlarged, it is called hepatosplenomegaly.

Alternative Names

Hepatosplenomegaly; Enlarged liver; Liver enlargement

Considerations

The lower edge of the liver normally comes just to the lower edge of the ribs on the right side. The edge of the liver is normally thin and firm. It cannot be felt with the fingertips below the edge of the ribs, except when you take a deep breath. It may be enlarged if a health care provider can feel it in this area.

Causes

The liver is involved in many of the body's functions. It is affected by many conditions that can cause hepatomegaly, including:

When to Contact a Medical Professional

This condition is most often discovered by a health care provider. You may not be aware of the liver or spleen swelling.

What to Expect at Your Office Visit

The provider will examine you and ask questions such as:

  • Did you notice a fullness or lump in the abdomen?
  • What other symptoms do you have?
  • Is there any abdominal pain?
  • Is there any yellowing of the skin (jaundice)?
  • Is there any vomiting?
  • Is there any unusual-colored or pale-colored stools?
  • Have you had a fever?
  • What medicines are you taking including over-the-counter and herbal medicines?
  • How much alcohol do you drink?

Tests to determine the cause of hepatomegaly vary, depending on the suspected cause, but may include:

References

Martin P. Approach to the patient with liver disease. In: Goldman L, Schafer AI, eds. Goldman's Cecil Medicine. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016:chap 146.

Review Date:4/20/2015
Reviewed By:Subodh K. Lal, MD, Gastroenterologist with Gastrointestinal Specialists of Georgia, Austell, GA. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.

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