Congestive Hepatopathy Diagnosed by Venous Excess Ultrasound Score

ACG Case Rep J. 2024 Apr 26;11(5):e01325. doi: 10.14309/crj.0000000000001325. eCollection 2024 May.

Abstract

Accurate and rapid detection of venous organ congestion, especially congestive hepatopathy, is essential to reduce morbidity and mortality. The Venous Excess Ultrasound Score is an emerging point-of-care ultrasound examination that can grade severity of venous organ congestion using spectral Doppler evaluation of the hepatic, portal, and intrarenal veins, but its utility in congestive hepatopathy is unknown. We report a case of acute liver injury where Venous Excess Ultrasound Score supported a diagnosis of congestive hepatopathy and guided management, leading to a favorable outcome.

Keywords: VExUS; Venous congestion; congestive hepatopathy; heart failure; liver dysfunction.

Publication types

  • Case Reports