Liver ptosis

Introduction The liver of a normal person is generally undetectable under the costal margin, but the person with a soft and thin abdominal wall can squat under the rib arch to the lower edge of the liver when inhaling deeply, but within 1 cm. Under the xiphoid process, the lower edge of the liver can be touched, mostly within 3 cm. If the above-mentioned standard is exceeded, if the upper boundary of the liver is also lowered, the upper and lower diameter of the liver is normal, that is, the liver is drooping or the liver is moved downward. It can be emphysema. A large amount of fluid in the right thoracic cavity, liver cancer and other factors.

Cause

The causes are congenital weakness or acquired degeneration of the liver ligament, weakened abdominal muscle tension and decreased intra-abdominal pressure. Emphysema, massive pleural effusion on the right side, and right subpulmonary effusion can also promote liver sag.

an examination

Related inspection

MRI examination of liver, gallbladder, pancreas and spleen by liver, gallbladder and spleen

Generally asymptomatic or only mild upper abdominal discomfort, abdominal distension, etc. Patients with hepatic sag can feel the right upper quadrant mass on their own or inadvertently. If the sag is severe, compression and traction symptoms such as nausea, vomiting, bloating, and diarrhea may occur. Ultrasound examination can detect the position of the upper and lower boundaries of the liver and its activity.

Differential diagnosis

Identification:

The hepatic sag should be differentiated from the liver. In the former, except for the lower edge of the liver beyond the rib arch, the upper boundary of the liver and the dullness of the liver also move down. Therefore, the area of the dullness of the liver does not expand, and the position of the liver is often taken after the deep supine position. Recoverable. Mild hepatic sag is not uncommon.

diagnosis:

Generally asymptomatic or only mild upper abdominal discomfort, abdominal distension, etc. Patients with hepatic sag can feel the right upper quadrant mass on their own or inadvertently. If the sag is severe, compression and traction symptoms such as nausea, vomiting, bloating, and diarrhea may occur. Ultrasound examination can detect the position of the upper and lower boundaries of the liver and its activity.

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