- HEPATOBILIARY SYSTEM
- CHRONIC PASSIVE HEPATIC CONGESTION "NUTMEG LIVER"
- Armed Forces Institute of Pathology
- The pattern of hepatic fibrosis in the "nutmeg" liver is unmistakable. Centrilobular hepatocytes already live on the edge of hypoxia - any further drop in oxygen, say as a result of blood stasis due to right heart failure from pulmonary hypertrension (brisket disease, one of many causes) may result in death of centrilobular hepatocytes, loss down the cenilobular vein, and resulting fibrosis. The fibrosis you see here is bridging centrilobular areas.