Image Based Question-70357

Identify the cause for the pathological condition of the liver as shown in the image:

A. Alcohol

B. Alpha 1 Antitrypsin deficiency

C. Hepatitis C virus

D. Constrictive pericarditis

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Correct Answer » D Explanation

Ans:D. Constrictive pericarditis

Image shows: Centrilobular hemorrhagic necrosis (nutmeg liver). The cut liver section, in which major blood vessels are visible, is notable for a variegated mottled red appearance, representing hemorrhage in the centrilobular regions of the parenchyma.

NUTMEG LIVER

• A nutmeg liver appearance is due to a perfusion abnormality of the liver usually as result of hepatic venous congestion.

Conditions associated with hepatic venous congestion include:

1. hepatic veno-occlusive disease
2. Budd-Chiari syndrome
3. congestive hepatopathy
4. right heart failure
5. constrictive pericarditis