Shelly, DTevatia, M SPraharaj, A KMehta, AHarish, SBaskaran, V2008-01-182009-05-292008-01-182009-05-292008-01-18Shelly D, Tevatia MS, Praharaj AK, Mehta A, Harish S, Baskaran V. Nodular regenerative hyperplasia of liver. Indian Journal of Pathology & Microbiology. 2008 Jan-Mar; 51(1): 78-80http://imsear.searo.who.int/handle/123456789/75581Nodular regenerative hyperplasia of the liver (NRHL) is a very rare cause of portal hypertension and liver failure. The condition is characterized by diffuse micronodular transformation of hepatic parenchyma without fibrous septa between the nodules. We present our experience with a 32-year-old woman who presented with recurrent episodes of upper gastrointestinal bleeding associated with massive splenomegaly who was subsequently found to have NRHL. This article considers the salient aspects of this rare condition, how it affects the patients and the options available in its management. A plea is made for the need for liver biopsy for all patients with portal hypertension especially those being considered for surgery.engAdultBiopsyFemaleFocal Nodular Hyperplasia --diagnosisGastrointestinal Diseases --etiologyHemorrhage --etiologyHumansLiver --pathologyLiver Diseases --diagnosisSplenomegaly --etiologyCase Reports