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What causes dilated hepatic vein?

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Posted on Thu, 26 Jun 2014
Question: What can cause dilated hepatic vein .
I did a cardio tests (EKG , stress test , blood test ) & liver function test , AFP test & thsnks God everything is normal but i always feel a quick pain for a seconds under my right ribs specially the last one . & sometimes i feel burbing .
For your info i have been diagnosed last year with Sliding hiatus hernia & bile gastritis . I did a CT tri phasec on abdomen & 1 ultra sound . & it shows hepatic hemangioma but my dr when saw the films told me that i have dilated hepatic vein .what does it mean .
doctor
Answered by Dr. Indu Kumar (13 hours later)
Brief Answer:
Dilated hepatic veins need clinical correlation.

Detailed Answer:
Hello XXXXXX
Thanks for writing to HCM

Hepatic haemangioma is an incidental finding during imaging.
Hepatic haemangioma is a benign hypervascular liver lesion. It is the most common benign tumour of the liver.It is generally asymptomatic and doesn't require any treatment.

Dilated hepatic vein is associated with many other features.Hepatic veins are enlarged due to heart dysfunctions.Patients have cardiac or pulmonary symptoms and also there will be a sense of fullness and tenderness in the right hypochondriac region.There is enlarged liver also.

You have mentioned that your cardiac status is fine so you shouldn't worry.

It is important to correlate clinically.

Get well soon.
Hope I have answered your question.
Further queries are most welcome.

Take Care
Dr.Indu XXXXXXX
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Indu Kumar (10 minutes later)
What do you mean with correlate clinically & what is the right hypochondriac ?
You mean fullness & tenderness in the stomach ?
Why they mistake the dilated hepatic vein with hemangioma is they are dimillar to each other ?
Thanks
doctor
Answered by Dr. Indu Kumar (17 minutes later)
Brief Answer:
Please find detail answer below.

Detailed Answer:
Hello XXXXXX
Thanks for writing back

Correlate clinically means it should be assessed by your physician.Physician relate findings with clinical symptoms of the patient.
Right hypochondriac means area of abdomen below the rib margins in right side.If there is enlarged liver due to dilated hepatic veins then patient feel pain(tender) in this region.

Dilated hepatic vein and haemangioma are not same things.They are entirely different entities.
Haemangioma are well defined structure in the liver and shows delayed enhancement during contrast imaging whereas hepatic veins are draining veins from the liver and these are tubular in structure.

Get well soon.
Hope I have answered your question.
Further queries are most welcome.

Take Care
Dr.Indu XXXXXXX
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Indu Kumar (10 minutes later)
I din't have enlarged liver & i went to my dr he told me that it may be your colon cause i am suffering from IBS . But i have a question can liver cancer cause a little pain for a seconds then go away . I know that it is too far but i am always afraid from this word (cancer) & can they mistake hemangioma or dilated hepatic vein with liver cncer through Tri phasec CT scan & ultra sound ? a
doctor
Answered by Dr. Indu Kumar (32 minutes later)
Brief Answer:
Please find detail answer below.

Detailed Answer:
Hello XXXXXXX
Thanks for writing back

You are absolutely fine.There is no need to be worried.
Since you don't have right sided pain and enlarged liver,dilated hepatic veins is unlikely.
You only have haemangioma and it is an incidental finding.Generally,it is asymptomatic.

There is no question of cancer.Hepatic cancer can't be missed in CT scan.You should have faith in reporters.

Get well soon.
Hope I have answered your question.
Further queries are most welcome.

Take Care
Dr.Indu XXXXXXX
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Indu Kumar (10 hours later)
But i have a right side pain around the last rib , i don't know if it is from my ribs or not my dr said it may be from colon as i have IBS or from the muscles around the rib . He prscribed me 2 medicine for the colon & cream for muscles but till now nothing have changed . It is a very lite pain for just a seconds . So can this from the dilated hepatic vein . Or can i just imagine the pain ?
doctor
Answered by Dr. Indu Kumar (18 hours later)
Brief Answer:
Please find detail answer below.

Detailed Answer:
Hello XXXXXXX
Thanks for writing back

No,pain is not due to hepatic veins.
Your doctor has rightly said that pain may be due to IBS or musculoskeletal reasons(like muscle spasm).
You have mild pain for a moment and you should give time for medicines to act.
You don't worry at all.You will be fine.

Get well soon.
Hope I have answered your question.
Further queries are most welcome.

Take Care
Dr.Indu XXXXXXX
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Indu Kumar (2 days later)
Good afternoon Dr
Sometimes i feel that the right side pain is from my front & rear last ribs ,can this pain is related to the ribs , i feel it from over than 3 months & anyone squeeze my ribs i feel a very mild pain & in my CT triphasec nothing has appeared in the ribs . So can my ribs injured and couldn't appear in the CT ?
Thanks
doctor
Answered by Dr. Indu Kumar (15 hours later)
Brief Answer:
Please find detail answer below.

Detailed Answer:
Hello XXXXXXX
Thanks for writing back

It is important to rule out costochondritis.It is not visible in CT scan and it is caused due to inflammation of the costal cartilages.
But,it should be confirmed by clinical examination by a orthopedician.
Its treatment include combination of rest and analgesics.
In refractory cases,steroid are prescribed either orally or injectable.

Get well soon.
Hope I have answered your question.
Further queries are most welcome.

Take Care
Dr.Indu XXXXXXX
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Indu Kumar (2 days later)
Dr good morning
Pls note that i did today an ultra sound on my liver to see if the hemangioma is processing or not & to check the second opinion of the 3 XXXXXXX French Radiologists who saw my CT triphasec on abdomen & told me that i have not hemangioma at all & it is just a dilated hepatic vein & they are very sure that there is no Hemangioma . But today when i did the Ultra Sound the Dr told me i have nothing neither Hemangioma nor Dilated hepatic Vein & he checked my liver for more than 20 min . SoIs it possible that hemangioma case or dilated hepatic vein case to disappear by itself ?
doctor
Answered by Dr. Indu Kumar (4 hours later)
Brief Answer:
Please find detail answer below

Detailed Answer:
Hello XXXXXX
Thanks for writing back

From findings,it is clear that you don't have hemangioma.It has typical enhancement in CT scan and it can't be missed.It shows typically delayed centripetal enhancement.It will not disappear by its own.

Most likely,you have dilated hepatic vein and it is mainly subjective assessment.If you don't have any symptoms then you can ignore the findings.

Get well soon.
Hope I have answered your question.
Further queries are most welcome.

Take Care
Dr.Indu XXXXXXX
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
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Dr. Indu Kumar

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What causes dilated hepatic vein?

Brief Answer: Dilated hepatic veins need clinical correlation. Detailed Answer: Hello XXXXXX Thanks for writing to HCM Hepatic haemangioma is an incidental finding during imaging. Hepatic haemangioma is a benign hypervascular liver lesion. It is the most common benign tumour of the liver.It is generally asymptomatic and doesn't require any treatment. Dilated hepatic vein is associated with many other features.Hepatic veins are enlarged due to heart dysfunctions.Patients have cardiac or pulmonary symptoms and also there will be a sense of fullness and tenderness in the right hypochondriac region.There is enlarged liver also. You have mentioned that your cardiac status is fine so you shouldn't worry. It is important to correlate clinically. Get well soon. Hope I have answered your question. Further queries are most welcome. Take Care Dr.Indu XXXXXXX