Fetal hepatomegaly: Causes and associations

Kyle K. Jensen, Kareny Oh, Neel Patel, Evan R. Narasimhan, Alexei S. Ku, Roya Sohaey

Research output: Contribution to journalArticlepeer-review

3 Scopus citations


Fetal hepatomegaly is associated with significant fetal morbidity and mortality. However, hepatomegaly might be overlooked when numerous other fetal anomalies are present, or it might not be noticed when it is an isolated entity. As the largest solid organ in the abdomen, the liver can be seen well with US or MRI, and the normal imaging characteristics are well described. The length of the fetal liver, which can be used to identify hepatomegaly, can be determined by measuring the liver from the diaphragm to the tip of the right lobe in the sagittal plane. Fetal hepatomegaly is seen with infection, transient abnormal myelopoiesis, liver storage and deposition diseases, some syndromes, large liver tumors, biliary atresia, and anemia. Some of these diagnoses are treatable during the fetal period. Attention to the associated findings and specific hepatic and nonhepatic imaging characteristics can help facilitate more accurate diagnoses and appropriate patient counseling.

Original languageEnglish (US)
Pages (from-to)589-604
Number of pages16
Issue number2
StatePublished - Mar 1 2020

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging


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