You can have liver enlargement for some fairly benign reasons....and it will go away.
When my son was a baby he had to be given a medication that was normally only for adults. Several days later he developed a rash..and they found his liver was enlarged...turns out the rash and the enlarged liver were both due to the med he's taken. It caused inflammation in the liver as the liver tried to clear the med from his blood. Once cleared, the liver inflammation and the rash went away.
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I have just finished speaking to my sister who is currently in the hopital recovering from an inflamed apendix. She is being treated with antibiotics and in the mean time she was givne a CAT scan and it was discovered that she had an enlarged liver.
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If your sister is taking antibiotics, that could cause liver inflammation. Toxins are basically filtered by the liver, and/or kidneys. If your body reacts to the toxin, (which is what your body thinks an antibiotic is....or it would try to NOT excrete it) then the filtering organ can get inflamed.
Having appendicitis I imagine could also cause liver inflammation in some....after all, bacteria are considered "toxic" also, so the liver and/or kidneys would try to filter out any dead bacteria or bacteria pieces that is in the blood (if there was any...did they say your sister was "septic" or have "septic shock"?) I don't remember appendicitis being linked to liver enlargement, but we're all different, so I wouldn't be surprised.
Now, most people handle meds and often other toxins without any problem. Some people have violent reactions to certain toxins. And some people have mild reactions.
Your sister might have eaten something....or touched something...or even inhaled something that caused a reaction in her liver. This may have happened before....or this might be the first event....or the only one!
If the liver is failing the Liver function tests will be elevated....most likely significantly. If the LFTs are normal, or close to normal, then it's more likely to be a reaction to something.
Or, she could just have a liver that's larger than "normal".
Oh yea....my son was seen by 3 "experts" (actually 5 altogether....one office 3 docs saw him) and they had no idea what was wrong with the kid. But the local family practice guy, out of school for just 3 years, knew what it was at first glance! And yea, this was a major high tech medical center (think Boston) where my son was seen.