A patient presents with esophageal varices and a liver span of 10cm. All of the following are likely causes, except:
Answer is D (Post necrotic cirrhosis) Post necrotic cirrhosis is charachterized by a shrunken liver with reduced liver span. The normal liver span measures about 12- 15 cm and a lover span of 19cm suggests and chlorged liver. Presence of esophageal varices suggests poal hypeension due to advanced liver disease / cirrhosis or occlusion of poal vein. Venoocclusive disease, Budd chiari syndrome, Hematochromatosis and Alcohol liver disease may all present with an enlarged liver and poal hypeension (esophageal varices).
Haemochromatosis
Alcoholic liver disease
Veno-occlusive disease
Post necrotic cirrhosis