Citation Information :
Kumar Ghosh C, Islam F, Ahmed E, Kumar Ghosh D, Haque A, Islam Q, Zahir M. Etiological and Clinical Patterns of Isolated Hepatomegaly at Rajshahi, Bangladesh. Euroasian J Hepatogastroenterol 2012; 2 (1):1-4.
Background: Hepatomegaly, a common clinical finding, is
usually associated with splenomegaly. However, sometimes
there may be isolated hepatomegaly without splenomegaly in
different pathological conditions. An account of that at Rajshahi,
Bangladesh has been given in this study.
Materials and methods: This prospective study was carried
out in different medicine units of Rajshahi Medical College
Hospital, Rajshahi, Bangladesh on consecutive 100 hospitaladmitted
patients having isolated hepatomegaly.
Results: Most common cause of isolated hepatomegaly was
liver abscess (34.0%) followed by congestive cardiac failure
(30.0%). Viral hepatitis accounted for about 14% cases of
isolated hepatomegaly. Fatty liver and hepatocellular carcinoma
were also responsible for isolated hepatomegaly in some
patients.
Conclusion: Taken together, isolated hepatomegaly varies
from comparatively benign condition like fatty liver to fatal
condition like hepatocellular carcinoma. Multicenter study with
large sample size is warranted to develop more insights about
diagnosis and management of isolated hepatomegaly.
