Causes of Hepatomegaly: Hepatomegaly is a physical sign noted on abdominal examination that is present in hepatobiliary disease but is not specific

or sensitive to one cause. Defining hepatomegaly can be enigmatic because of the highly variable liver size, which makes establishment of what constitutes normal somewhat difficult. The normal adult liver spans 8 to 12 cm for men and 6 to 10 cm for women, in the midclavicular line. Calculation methods for estimating liver size have been developed but they do not correlate well with percussion or ultrasound . Physical examination estimation of liver size and the clinical ability to suspect hepatomegaly are necessary to proceed with an appropriate workup.