Abstract
The liver in acute shock is usually enlarged and may be purplish in congestive heart failure (Sherlock 1987) or pale in hypovolemic-traumatic shock. Sometimes the surface of the shocked liver shows a patchy appearance with anemic spots because of circumscribed ischemic areas. The edges of the liver are rounded and because of the interstitial edema the liver weight is increased. Spotty subcapsular hemorrhages may also occur, especially in septic shock, with consumption of coagulation factors resulting in hemorrhagic diathesis. The cut surface of the liver is grayish and pale in pure hypovolemic shock or reveals distended hepatic veins in congestive heart failure. In addition the cut surface may show anemic spots or hemorrhagic patches. Pale and dry areas of yellow color represent necrotic foci; however, such macroscopically detectable necrotic foci are usually rare since they must become quite large to be detectable in this way.
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Dinges, H.P., Schlag, G., Redl, H. (1993). Morphology of the Liver in Shock. In: Schlag, G., Redl, H. (eds) Pathophysiology of Shock, Sepsis, and Organ Failure. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-76736-4_19
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DOI: https://doi.org/10.1007/978-3-642-76736-4_19
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