All things being equal, cirrhosis tends to create a shrunken, scarred liver; hepatomegaly is not a usualy feaure.
However, there are a few causes of liver cirrhosis where the liver is actually enlarged. Knowing them can be few helpful in establishing the aetiology of the cirrhosis. They are:
- Alcoholic cirrhosis
- Primary biliary cirrhosis
- Hepatoma superimposition
In all but the last case, the liver is enlarged due to it being stuffed with, respectively, fat (remember: alcohol causes a fatty liver), iron and bile. Always consider a hepatoma too, since cirrhosis is a high risk condition for the development of this cancer. It can be excluded a combination of ultrasound and alpha fetoprotein measurements.