Differential Diagnosis for Hepatomegaly with Jaundice
Single Most Likely Diagnosis
- Viral Hepatitis: This is often the first consideration due to its high prevalence and the direct link between viral hepatitis infection and both hepatomegaly (enlargement of the liver) and jaundice (yellowing of the skin and eyes due to liver dysfunction). Viral hepatitis can cause inflammation of the liver, leading to these symptoms.
Other Likely Diagnoses
- Alcoholic Liver Disease: Chronic alcohol consumption can lead to liver inflammation and scarring, resulting in hepatomegaly and potentially jaundice if liver function is severely impaired.
- Non-Alcoholic Fatty Liver Disease (NAFLD): Although NAFLD is more commonly associated with a mild elevation in liver enzymes, its more severe form, non-alcoholic steatohepatitis (NASH), can cause significant liver inflammation and damage, leading to hepatomegaly and jaundice.
- Cholestasis: Conditions that cause bile flow obstruction, such as gallstones or tumors, can lead to jaundice and hepatomegaly due to the accumulation of bile in the liver.
Do Not Miss Diagnoses
- Hepatocellular Carcinoma: Although less common, liver cancer can present with hepatomegaly and jaundice, especially if the tumor obstructs the bile ducts. Missing this diagnosis could be fatal.
- Budd-Chiari Syndrome: This rare condition, caused by thrombosis of the hepatic veins, can lead to acute liver failure, hepatomegaly, and jaundice. It requires prompt diagnosis and treatment to prevent severe outcomes.
- Wilson's Disease: A genetic disorder leading to copper accumulation in the liver, which can cause liver damage, hepatomegaly, and jaundice. Early diagnosis is crucial for effective treatment.
Rare Diagnoses
- Amyloidosis: A condition characterized by the deposition of abnormal proteins (amyloid) in various tissues, including the liver, which can lead to hepatomegaly. Jaundice is less common but can occur if there's significant liver involvement.
- Polycystic Liver Disease: A rare genetic disorder that leads to the growth of numerous cysts filled with fluid in the liver, which can cause hepatomegaly. Jaundice is not a typical symptom unless the cysts significantly impair liver function or cause bile duct obstruction.
- Sarcoidosis: A systemic disease that can affect multiple organs, including the liver, leading to granulomatous inflammation, hepatomegaly, and potentially jaundice, although liver involvement is usually asymptomatic.