KROK 1 2020 – Question 43 · KROK (Medicine) · Pathomorphology
A patient died with signs of heart failure. Autopsy shows the following: postinfarction cardiosclerosis, cardiac hypertrophy, and dilated cardiac chambers. The liver is enlarged, has smooth surface, is plethoric on section, covered in dark red specks against the brown-tinted background of the tissue. Histologically, the central veins of the hepatic lobules are plethoric; there is erythrocyte diapedesis into the perivascular space. Central hepatocytes are dystrophic, while peripheral hepatocytes are enlarged and affected by fatty degeneration. What process occurred in the patient’s liver?
- A. Pseudonutmeg liver
- B. Hepatic cirrhosis
- C. Amyloidosis
- D. Nutmeg liver
- E. Hepatic steatosis
Hint
Think about what happens to the central veins and the zones around them when venous outflow from the liver is chronically held back by a failing heart.
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