Nutmeg liver is seen in -: (A) Right sided heart failure, (B) Left sided heart failure, (C) Increased pulmonary pressure, (D) Decreased pulmonary pressure
Answer is A. The combination of hypoperfusion and retrograde congestion (Chronic passive congestion) acts synergistically to generate centrilobular hemorrhagic necrosis. The liver takes on a variegated mottled appearance reflecting hemorrhage and necrosis in the centrilobular regions, know as nutmeg liver.
Chronic passive congestion is seen in RHF