Question
A liver biopsy reveals following findings. What is true about this condition?
| A. |
Nutmeg liver with dark areas of perivenular dead hepatocytes and gray areas of periportal viable hepatocytes.
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| B. |
Nodular regenerative hyperplasia of liver induced due to OC Ps.
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| C. |
Nutmeg liver with pale areas of necrosis and dark congested areas of perivenular viable hepatocytes.
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| D. |
Cirrhotic liver with fibrotic nodules.
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Show Answer
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Correct Answer � A
Explanation
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Ans: A. Nutmeg liver with dark areas of perivenular dead hepatocytes and gray areas of periportal viable hepatocytes
Ref Robbins 9,/e p864, 8/e p872)
Nutmeg liver – Classical picture:
- Seen in chronic passive venous congestion on liver.
- Dark congested areas – Necrotic hepatocytes.
- Surrounding paler & brownish appearing regions – Viable hepatocytes.
- Centrilobular hemorrhagic necrosis – Due to combined hypoperfusion & retrograde congestion acting synergistically.
- Variegated mottled appearance of liver – Reflecting hemorrhage & necrosed centrilobular regions.
- Referred as “nutmeg liver” – Due to its resemblance to cut surface of nutmeg.
