Gene/Protein Disease Symptom Drug Enzyme Compound
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Query: UMLS:C0019209 (hepatomegaly)
 5,798 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

A 70-yr-old man with a large thoracoabdominal aortic aneurysm developed marked congestive hepatomegaly. Evaluation by arteriography, venography, and computed tomography revealed compression and venous obstruction at the confluence of the hepatic veins and inferior vena cava. Although obstruction of the inferior vena cava caused by rupture of an abdominal aortic aneurysm is known to occur, obstruction without rupture and involving the hepatic veins has not been previously reported.
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PMID:Marked hepatic congestion caused by a thoracoabdominal aneurysm. 648 2

This is a case report of a patient who presented to the Emergency Department with abdominal pain, unstable vital signs, and a pulsatile abdominal mass. Current recommendations are to limit diagnostics and send the patient to the operating room as soon as possible for laparotomy because even if an abdominal aortic aneurysm rupture is not found, most of these patients will end up having pathology for which surgery will ultimately be needed. This case report describes a patient who did not have a surgical cause for her presentation, but rather, severe tricuspid regurgitation and, consequently, significant pulsatile hepatomegaly accounting for the finding of a pulsatile abdominal mass. A brief overview of how such patients should be managed is presented as well as a recommendation that urgent bedside sonography be undertaken before proceeding to the operating room.
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PMID:An unstable patient with a pulsatile mass: proceed immediately to the OR? 1643 35