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What Is Dilated Hepatic Vein?

Posted on Thu, 12 Jun 2014

Question: Good morning
I have been diagnosed through ultra sound with a small hepatic hemangioma then i did CT triphasec to confirm it & the opinion was "likely hemangioma" i also did AFP test which showed a normsl result . Then i took my films to a 3 Radiologists in France who told me that i don't have hemangioma , i just have mild dilated hepatic vein . & it was wrong interpretation from my Dr in Egypt . What is the dilated hepatic vein & why the Drs in Egypt missed it ? Is it very simillar to hemangioma ?

Answered by Dr. Dr.P.Ratnakar Kini (1 hour later)

Brief Answer:
Answer given below

Detailed Answer:
Hi,
Thanks for posting your query.
I am Dr.R.K and I am pleased to assist you.

Since I have not seen the CT pictures, I cannot comment whether it is a hemangioma or a dilated hepatic vein. I cannot say who is right - the doctors in Egypt or the doctors in France.

Hepatic veins are blood vessels that carry blood from the liver to the inferior venacava. Inferior venacava is the big blood vessel that carry blood from the lower part of the body to the right side of the heart.

There are three hepatic veins that drain in to the inferior venacava. If there is any obstruction to the blood flow or if the right heart function is affected, then the hepatic veins get dilated- which means they increase in their diameter.

Hemangioma on the other hand is abnormally formed blood vessel which most often is harmless.

So hemagioma and dilated hepatic veins are not similar and are totally different things.

I hope that answers your question.
Let me know if I can assist you further.
Regards,
Dr.R.K

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

Follow up: Dr. Dr.P.Ratnakar Kini (7 minutes later)

In the last 9 months i did a lot of efforts like biking , take the stairs instead of elevators (9 floors ) one shot , swimming , going to gym , & i also noticed that my heart beats reached to 205 at sometimes . Can this affect the liver vein to be dilated or not ?
Also why they miss read it with a hemangioma ( pls note that they are 3 seniors radiologists at one of the biggest hospitals in France ( XXXXXXX Pompidou )& they told me nothing to worry about it is just a dilated hepatic vein . I am very confused .

Answered by Dr. Dr.P.Ratnakar Kini (8 minutes later)

Brief Answer:
Answer given below

Detailed Answer:
Hi,
Why the doctors at Egypt missed it- I cannot say.

But if you feel that the doctors at France are XXXXXXX radiologists with good experience, then you have to go with their opinion.

Strenuous physical activity like what you have mentioned will not cause your hepatic vein to dilate as long as your heart function is normal.

I hope that answers your question.
Let me know if I can assist you further.
Regards,
Dr.R.K

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

Follow up: Dr. Dr.P.Ratnakar Kini (8 minutes later)

Is it normal to feel a needle pain for a second just under my right rib cage , & sometimes i feel a pain in my last rib & around , my doctor said that it may due to the muscles between the ribs & i also have IBS & sometimes it cause the following . How can i send you the images i have it on a CD .

Answered by Dr. Dr.P.Ratnakar Kini (43 minutes later)

Brief Answer:
Answer given below

Detailed Answer:
Hi,
You can ignore the "needle" pain which lasts for a second. Most often it does not signify anything serious.

You can upload the pictures here.

Regards,
Dr.R.K.

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