Management of polycystic liver disease: CLINICAL MANIFESTATIONS
PCLD typically has a slowly progressive and benign course. Most patients are asymptomatic and the condition is usually discovered incidentally or in association with PCKD presentation. Symptoms from PCLD may arise from the grossly enlarged liver compressing adjacent organs or from hepatic complications of PCLD, of which the latter is relatively uncommon. The most common symptoms requiring intervention are abdominal distension, abdominal pain and early satiety. Other symptoms include fatigue, nausea, vomiting, and supine shortness of breath . Because prolonged symptoms and discomfort can lead to significant anorexia, malnutrition and physical disability, active management should be undertaken before these long-term complications occur. Acute medical complications are experienced in fewer than 5% of patients and may necessitate acute intervention. These include cyst hemorrhage, rupture, infection, uterine prolapse, obstructive jaundice, portal hypertension, transudative and exudative ascites, and Budd-Chiari syndrome. Noncystic manifestations of isolated PCLD include mitral valve abnormalities in approximately 20% of cases. Find best deals online – generic levitra professional click here can be available every time you visit.