Diagnostic diferential hepatomegalie:

Diagnostic diferential al hepatomegaliei:cresterea in dimensiuni a ficatului

Inflamatie:

hepatita

hepatita infectioasa:

hepatita virala

schistosomiaza

hepatita alcoolica

hepatita toxica

hepatita indusa de medicamente

autoimun

abces hepatic

piogen

amoebic

colangita

pericolangita

alte infectii

mononucleoza infectioasa

tuberculoza miliara

leishmania donovani

amoebiaza

Ciroza

ciroza alcoolica

posthepatita

postnecrotic

ciroza biliara

hemocromatoza cu ciroza

Neoplasm malign: carcinom hepatocelular

colangiocarcinom

angiosarcom

metastaze:

carcinom de pancreas

carcinom de colon

carcinom pulmonar

carcinom mamar

carcinom de stomac

Neoplasm benign: adenom hepatic

hemangiom

hiperplazie nodulara focala

Hematologie, limfoproliferativ:

limfom

leucemie

mielofibroza cu metaplazie mieloida

mielom multiplu

Granulomatos:

sarcoidoza

tuberculoza miliara

Metabolic:

hemocromatoza

deficienta de alfa 1 antitripsina

boala Wilson

fibroza chistica

Kwashiorkor(deficienta alimentara de proteine)

Obstructie biliara

coledocolitiaza

pancreatita

strictura biliara

carcinom

compresie externa

Congestie hepatica:

ICC

Pericardita constrictiva

Sdr Budd Chiari

Tromboza

Tumora

Retea in vena cava inferioara

Tulburari infiltrative de depozitare

infiltrare grasa alcoolica

boala de depozitare a lipidelor

boala Gaucher

boala Niemann-Pick

ficatul gras

boala depozitarii de glicogen

amiloidoza

boala Wilson

sindromul Hurler

Altele:

chisturi

boala hidatica a ficatului.

Diagnostic diferential al hepatosplenomegaliei:cresterea in dimensiuni a ficatului si splinei.

Hipertensiunea portala:

ciroza

sdr Budd Chiari (stenoza sau ocluzia venei hepatice)

Boala Banti (hipertensiune portala idiopatica)

Sarcoidoza

Ciroza biliara primara

Ficat chistic

Metastaze hepatice multiple

Ficat congestionat

Ficat gras

Colestaza extrahepatica

Tumori

Inhibitori ai anhidrazei carbonice

Calculi

Icter medicamentos

Infectii

hepatita virala

bruceloza (boala Bang)

mononuceloza infectioasa

febra tifoida abdominala

amebiaza

malarie

leptospiroza

febra recurenta

echinococoza

schistosomiaza

leishmaniaza

histplasmoza

bilaharzioza

Reticuloze

boala Letterer- Siwe(reticuloza la copii si adolescenti)

Hematologic, mieloproliferativ

Trombocitopenie idiopatica

Policitemie

Osteomieloscleroza

Mieloza cronica

Limfom Hodgkin Leucemie

Anemie hemolitica/hemoglobinopatii:

talasemie anemie falciforma

deficienta de glucoza 6-fosfat

anemie imun-hemoliticaTulburari metabolice:

boala Gaucher

boala Wilson

boala Niemann-Pick

hemocromatoza

galactozemie

amiloidoza

sindromul Pfaundler-Hurler

glicogenoza tip IV

hiperlipemie familiala

Altele

fibroza chistca

histiocitoza X

sindromul Felty(splenomegalie cu artrita reumatoida si leucopenie)

Morbus haemolyticus neonatorum

Boala Still(artrita reumatoida juvenila)

Boala Osler

Anemia sideroblastica

Microangiopatia Moschcowitz

Tuberculoza miliara

Embolii pulmonare recurente