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I'm Extremely Concerned About My Mortality Rate Even Though The Biopsy Has Not Come Back

Posted on Wed, 28 Aug 2024

Question: I had an EUS scope performed on December 07, 2022 for a liver biopsy. The findings were normal appearing liver but heptic vein of 16.75mm and portal vein pressure of 15.75 mm. Both were averages from four readings each. I'm extremely concerned about my mortality rate even though the biopsy has not come back.

Answered by Dr. Dr.Raju.A.T (6 hours later)

Brief Answer:
Need some more details

Detailed Answer:
Hi,

Thanks for your query.

I would like to know some more details

Age and gender ?
Why was the EUS guided liver biopsy done ?
What were your symptoms?
Since when did you have the above symptoms?
Please share the test reports

waiting for your response,

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr.Raju.A.T (14 hours later)

I am 53 years of age and female. The biopsy was done due to upper right quadrant pain with gas and bloating that has been going on for about 13 years. Doctors guessed it was a fatty liver due to elevated liver enzymes, but the enzymes had stabilized. I had an ANA test done with a 1:80 titer result with a speckled pattern. I also had the following results too:

IGG (Q)     1036 mg/dL
IGM (Q)     121     mg/dL
LIVER KIDNEY MICROSOME ANTIBODY (IGG) <=20.0 U
IGA (Q)     201     mg/dL
MITOCHONDRIAL ANTIBODIES     61.8 High     U
ACTIN ANTIBODY (IGG) <20     U

HEPATITIS A AB (TOT)     Reactive     (I had been vaccinated years before test)
HAV IGM AB     Nonreactive
HBsAG     Non-reactive
HBsAB     REACTIVE High (I had been vaccinated years before test)
HEPATITIS C ANTIBODY     Non-reactive

ABSOLUTE EOSINOPHIL COUNT     0.3     K/mm3
WBC     9.2     K/mm3
RBC     5.20     M/mm3
HGB     13.7     g/dL
HCT     43.0     %
MCV     82.8     fL
MCH     26.4 Low     pg
MCHC     31.9 Low     g/dL
RDW     13.3     %
SEGS     60.1     %
LYMPHS     31.1     %
MONOS     5.3 Low     %
EOSINO     3.1     %
BASO     0.4     %
PLT     280     K/mm3
MPV     9.1     um3
ABSOLUTE NEUTROPHIL COUNT     5.5
ABSOLUTE LYMPHOCYTE COUNT     2.9
ABSOLUTE MONOCYTE COUNT     0.5
ABSOLUTE BASOPHIL COUNT     0.0
ALKALINE PHOSPHATASE     95     U/L
SGOT     27
TOT. BILIRUBIN     0.48     mg/dL
SGPT     29     U/L
GLOMERULAR FILTRATION RATE (eGFR)     104     ml/min
FERRITIN     151 High     ng/mL

Follow up: Dr. Dr.Raju.A.T (2 minutes later)

I have attached photos of the initial test results. Thank you.

Answered by Dr. Dr.Raju.A.T (33 hours later)

Brief Answer:
No risk

Detailed Answer:
Hi,

Thanks for the reports

Sorry for the delay in my response,

I have seen the reports attached, these do not direct onto any diagnosis related to the liver. I do not suspect any risk of mortality here.

I would like to know why are you concerned about mortality when the reports are ok.

Regards,

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr.Raju.A.T (16 hours later)

It was due to the excessively high portal and hepatic hypertension.

Answered by Dr. Dr.Raju.A.T (33 hours later)

Brief Answer:
varicies

Detailed Answer:
Hi,

The normal portal vein pressure is from 5 to 12 mm of Hg. Anything above 12 is considered portal hypertension. In such cases it becomes necessary to check the liver status regularly but in case the portal hypertension persists and crosses more than 15mm it can result in varicies in the esophagus and rectum leading to bleeding. It is then the mortality increases.

regards,

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Above answer was peer-reviewed by : Dr. Raju A.T