Study of relative frequency, causes and clinical presentation of pathological swellings of liver

Abstract

Introduction: Swelling in the epigastrium is caused by those organs anatomically present in the epigastric region and sometimes by other organs situated in other parts of body in the other regions. This study was done to know the clinical presentation of swellings arising from liver among the epigastric swellings. Methods: Fifty-two cases with a pathological swelling in the epigastrium, who were admitted to tertiary care center, were randomly selected and studied during their stay in the hospital. The patients of age more than 12 years were included. Relevant investigations were done and the diagnosis confirmed.Results: There were total 25 cases with liver swellings in Liver. Liver abscess was 23%, liver cyst 5.7%, hydatid cyst of liver and hepatocellular carcinoma 3.84% each and hemangioma about 1.96% of the total no of cases. Nausea (61.53%), pain (55.76%), vomiting (51.95%), weight loss (40.38%), fever (34.61%), anorexia (32.69%) were the presenting symptoms.Conclusion: Liver abscess was the most common swelling in the liver. The least common swelling was hemangioma (1.96%). Most common symptom was nausea, followed by pain, weight loss. The least common symptom was gastrointestinal bleeding.