Hepatomegaly means enlarged liver. An enlarged liver may not always be palpable if it is slightly enlarged and a palpable liver is not always enlarged. causes of hepatomegaly are-

Infective Causes

• Cholangitis
• Amebiasis
• Schistosomiasis.
• Bacterial infections: Typhoid, brucellosis, tuberculosis
• Viral: Infective hepatitis, infectious mononucleosis
• Spirochetal: Syphilis, Weil’s disease
• Protozoal: Malaria, kala azar
• Fungal: Actinomycosis, histoplasmosis
• Parasitic: Echinococcus

Congestive causes

These are related to congestion of the liver

• Cardiac failure
• Cardiomyopathy
• Constrictive pericarditis
• Budd Chiari syndrome

Cirrhosis

Biliary obstruction

• Gall stones
• Strictures

Degenerative and Infiltrative Diseases

• Fatty degeneration
• Amyloid deposition
• Gaucher’s disease
• Niemann Picks disease
• Hodgkin’s disease
• Leukemias

Tumours

• Primary- Hepatocellular, cholangiocellualr sarcomas
• Secondary

Toxicity

Alcohol, arsenic, phosphorous, chlorpromazine.