Hepatomegaly is the enlargement of the liver beyond its normal size. Hepatosplenomegaly is enlargement of both the liver and the spleen.

The lower edge of the liver normally reaches just below the lower edge of the ribs (costal margin) on the right side. In its normal state, the edge of the liver is thin and firm, and cannot be palpated (felt with the finger tips) below the edge of the costal margin.


The liver is involved in a multitude of bodily functions, and is affected by a variety of conditions, many of which result in hepatomegaly.

Common causes include

  • Alcohol
  • Hepatitis A
  • Hepatitis B
  • Congestive heart failure
  • Infectious mononucleosis
  • Leukemia
  • Tumour metastases
  • Neuroblastoma
  • Hepatocellular carcinoma
  • Niemann-Pick disease
  • Hereditary fructose intolerance
  • Glycogen storage disease
  • Primary biliary cirrhosis
  • Sarcoidosis
  • Sclerosing cholangitis
  • Haemolytic-uremic syndrome (HUS)
  • Reye's syndrome


Your healthcare provider will undertake a medical history and perform a physical examination.

There may be more than one diagnostic test to determine the cause of Hepatomegaly and may include:

  • Abdominal and chest X-ray
  • Ultrasound of the abdomen including the liver
  • CT scan of the abdomen
  • Blood tests, including liver function tests and blood clotting studies


Depends on the cause.

Practice Locations Direction to our Locations

Suite 2 Strathfield Private Hospital
3 Everton Rd
Strathfield 2135

East Sydney Private Hospital
75 Crown Street
NSW, 2011

Royal Prince Alfred Hospital
50 Missenden Rd
NSW 2050

Concord Hospital
Hospital Rd
NSW 2139