During evaluation of a donor for transplant

During evaluation of a donor for transplant, you perform a gross exam of the liver and note that lobe marked ‘A’ is enlarged. You immediately suspect that the patient may have?

a. Underlying malignancy

b. Cirrhosis

c. Hepatitis

d. Right heart failure

e. Hepatic vein thrombosis

  1. Hypertrophy of the caudate lobe is seen in a number of conditions, including cirrhosis: most common, Budd-Chiari syndrome, primary sclerosing cholangitis (end stage), congenital hepatic fibrosis and cavernous transformation of the portal vein

  2. The caudate-right lobe ratio may be useful in quantifying caudate hypertrophy. A ratio of greater than 0.65 indicates a high likelihood of cirrhosis.

117161427_10158460727742357_2143558254366826369_n