Medicine Cirrhosis 6d73e146 Most common cause of congestive splenomegaly is? A Chronic congestive cardiac failure B Cirrhosis C Hepatic vein occlusion D Stenosis of splenic vein High-Yield Explanation Congestive splenomegaly is common in patients with severe poal hypeension. Poal hypeension is the major complication of cirrhosis.