Hepatolienal syndrome

Hepatolienal syndrome

Hepatolienal syndrome is a combined enlargement of the liver and spleen.

The reasons

    • Acute and chronic diffuse liver damage (90% of cases)
    • Congenital and acquired damage to the vessels of the portal vein system
    • Chronic infections and parasitic diseases
    • Metabolic diseases
    • Systemic blood diseases
    • Diseases of the SSS.

Clinical picture

    • Enlargement of the liver and spleen
    • In liver diseases, the consistency of both organs is dense (especially with cirrhosis and liver cancer). The size of the organs varies depending on the stage of the disease and does not always reflect the severity of the process.
    • Enlargement of the spleen appears later than the liver. During periods of exacerbation – pain on palpation.
    • Features of the flow
    • With stagnation in the liver – the spleen enlarges slightly, there is no hypersplenism
    • With portal hypertension – the spleen can be large, and in some forms of cirrhosis, the spleen is larger than the liver; hypersplenism is traditionally expressed
    • Infectious lesions – an increase in organs can be expressed in the same way (for example, with sepsis and infective endocarditis).

Laboratory research. Peripheral blood test

    • Possible manifestations of hepatocellular insufficiency
    • Feature – a picture of hypersplenism (decrease in the content of formed elements in peripheral blood) – anemia, leukopenia and thrombocytopenia.

Treatment of the underlying disease. With a pronounced hypersplenism – splenectomy. Synonym. Hepato-splenic syndrome See also Splenomegaly and hypersplenism, Portal hypertension ICD. R16 Hepatomegaly and splenomegaly, not elsewhere classified

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