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Living with Congenital hepatic fibrosis

A liver condition present from birth with oddly formed bile ducts and scarring, which can raise pressure in the liver's blood vessels.

Understanding Congenital hepatic fibrosis

Congenital hepatic fibrosis is a liver disease present from birth in which bile ducts and liver blood vessels form abnormally.

Scar tissue (fibrosis) builds up in the liver's portal tracts, which narrows veins and raises blood pressure in the liver's portal system (portal hypertension). That pressure can stretch the veins in the esophagus, stomach and intestines and raise the risk of bleeding. People have an enlarged liver and spleen, and a higher risk of bile duct infection and gallstones.

Signs & symptoms

GARD doesn't list a separate symptom list for this condition. The summary describes:

  • Enlarged liver and spleen
  • High pressure in the liver's portal veins (portal hypertension)
  • Risk of bleeding from stretched veins
  • Bile duct infection (cholangitis)
  • Gallstones

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include digestive system specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

Care & treatment

Care team
Digestive system specialists (gastroenterologists)
Expert care
Ask about multidisciplinary care centers for rare conditions
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with rare disease patient organizations for support
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
How should portal hypertension be monitored?
Are the kidneys also affected?
Which signs of bleeding or infection need urgent care?

Quick facts

Symptoms usually startNewborn

GARD describes abnormal formation of the bile ducts and portal blood vessels, and doesn't list a specific gene or inheritance pattern.

Gastrointestinal

Also known as: congenital liver fibrosis; excessive buildup of connective tissue and scarring of liver at birth; isolated chf; isolated congenital hepatic fibrosis; nonsyndromic congenital hepatic fibrosis

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Congenital hepatic fibrosisGARD ID 21995 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Congenital hepatic fibrosis.

Explore the Congenital hepatic fibrosis blog

Explore research for Congenital hepatic fibrosis

Explore actively recruiting Congenital hepatic fibrosis studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Congenital hepatic fibrosis with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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