KROK 1 2007 – Question 16 · KROK (Medicine) · Pathomorphology
A patient died under conditions of cardiovascular insufficiency. Autopsy results: postinfarction cardiosclerosis, myocardium hypertrophy and dilatation of its cavities, especially of its right ventricle. Liver is enlarged, its surface is smooth, incision revealed that it was plethoric, with dark-red specks against the background of brownish tissue. Histologically: plethora of central parts of lobules; peripheral parts around portal tracts contain hepatocytes in a state of adipose degeneration. How are these liver changes called?
- A. Liver cirrhosis
- B. Pseudonutmeg liver
- C. Liver steatosis
- D. Amyloidosis
- E. Nutmeg liver
Hint
Think of chronic passive congestion in right heart failure: hypoxic central lobular zones and fat-laden peripheral zones give the cut surface a characteristic mottled look.
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