Abordagem ao Paciente com Hepatomegalia e Esplenomegalia: Um Estudo de Revisão

Hepatomegaly and splenomegaly are relevant clinical findings often associated with multiple systemic and hepatic conditions. This review study addresses the anatomy and functions of the liver, the main diagnostic methods—both physical and complementary—as well as the various causes related to liver and spleen enlargement. It discusses anatomical and physiological parameters, anatomical variations, pathological mechanisms, and investigation strategies, including laboratory tests, imaging techniques, and, when indicated, liver biopsy. An appropriate clinical approach to patients with hepatomegaly and splenomegaly requires a thorough evaluation, correlating clinical findings and complementary tests to identify the underlying etiology and define the best management strategy.