Question 1

what vein drains the stomach and empties into the hepatic portal vein?

Accepted Answer

Anatomy class: The right gastric vein (pyloric vein) drains blood from the lesser curvature of the stomach into the hepatic portal vein. It is part of the portal circulation. The left gastric vein (also known as the coronary vein) drains both gastric walls. It forms a loop with the right gastric vein at the lesser curvature of the stomach.

Question 2

can you tell me how hepatic portal vein anastomose with superior vena cava and inferior vena cava?

Accepted Answer

Normal anatomy?: The portal vein is majority blood supply to the liver. It carries nutrient-rich blood from the gut to the liver.  After passing through the liver, blood leaves via the hepatic veins and enters the inferior vena cava.  There is a procedure, called TIPS, which creates a direct shunt between the portal vein and hepatic vein.

Question 3

if both hepatic portal vein and hepatic arteries have thrombosis how long would it take for the liver to become necrotic ?

Accepted Answer

Budd-Chiari: The surprising this is that it doesn't - the hepatic arteries don't matter as most of the blood comes via the portal vein, and the thrombi that plug the veins are either not totally occlusive or some collateral flow develops. So these folks are very sick, but the liver cells seldom actually die off.

Question 4

had ct of liver indicates hepatic portal vein mildly enlarge at 15 cm . is this a sign of cirrhosis ?

Accepted Answer

Not in normal range: Upper limits of nor\mal is 1.2 cm main portal vein diameter.  Distention may indicate blood not flowing noramlly through the liver.  Cirrhosis is one cause. The direction of flow and waveform on Doppler ultrasound may be helpful.  CT may show collateral vessels, shunts, and other abnormalities. Ask your doctor, about its significance and what other studies might be indicated.

Question 5

mri of abdomen (liver) the liver is normal in size and contour. there is no evidence of hepatic steatosis. punctate hypoenhancing foci are seen in the hepatic dome (18/56), incompletely characterized. hepatic/portal veins patent. is this normal?

Accepted Answer

: You are quite young so I wonder why you had the MRI of the liver done. Even a radiologist needs a clinical clue (the reason why MRI was ordered) when reading the MRI so if the radiologist did not find any suspected lesion, you should not worry much. I, of course, can't tell you much with this non-specific finding but I doubt its significance.

Question 6

what do you mean by hepatic veins and portal veins are patent?

Accepted Answer

Patent = open: It sounds like you've gotten a report from an imaging study, such as CT, MRI, or ultrasound (or even certain types of surgery or procedure). When the radiologist or other specialist was evaluating images of the hepatic and portal veins of the liver (or observing the vessels directly), he or she noted that blood was flowing normally through them. That is the definition of "patent."

Question 7

what does it mean to say portal and hepatic veins are patent?

Accepted Answer

Evaluation liver: Portal vein is the main blood flow to the liver it occluded sometime with thrombosis that is usually treated with blood thinners like Coumadin (warfarin) . Hepatic veins drains blood from liver to the heart , if they occlude the patient will develop jaundice and sometimes severe liver dysfunction . Really depends why you had the test for ?

Question 8

increased /coarse hepatic parenchymal echotexture (liver parenchymal disease ) with prominent portal vein and splenomegaly?  wat it means

Accepted Answer

Severe damage: When damage to the liver occurs for a long time, meaning years, the liver becomes scarred and the veins that bring blood to the liver become distended because of resistance inside the liver. This increased pressure causes the spleen to take more blood and become enlarged. This is called cirrhosis of the liver and can be due to any number of things including alcohol and viral hepatitis.

Question 9

i have an ultrasound showing enlarged liver measuring 16.9 cm with raised echogencity,c.b.d,portal vein,ivc & hepatic veins are normal.

Accepted Answer

Fatty liver?: Increased echogencity of liver  usually related to  fat deposition in overweight individuals.Nonalcoholic fatty liver disease (NAFLD) now  most common cause of chronic liver disease in the U.S. Fatty liver can also occur after drinking moderate or large amounts of alcohol. Sometimes elevation of liver enzymes.Nonalcoholic steatohepatisis (NASH) similar to alcoholic liver disease in nondrinkers.

Question 10

i was diagnosed recently with choledocal cyst anterior to porta hepatis communicating with left hepatic duct.what is the appropriate  treatment?

Accepted Answer

Usually: nothing unless producing symptoms and the only treatment would be surgical removal!

Hope this helps!
Dr Z

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Doctor answers about:

Hepatic portal vein

A member asked:

What vein drains the stomach and empties into the hepatic portal vein?

A member asked:

Can you tell me how hepatic portal vein anastomose with superior vena cava and inferior vena cava?

A member asked:

If both hepatic portal vein and hepatic arteries have thrombosis how long would it take for the liver to become necrotic ?

A member asked:

Had ct of liver indicates hepatic portal vein mildly enlarge at 15 cm . is this a sign of cirrhosis ?

A member asked:

Mri of abdomen (liver) the liver is normal in size and contour. there is no evidence of hepatic steatosis. punctate hypoenhancing foci are seen in the hepatic dome (18/56), incompletely characterized. hepatic/portal veins patent. is this normal?

A member asked:

What do you mean by hepatic veins and portal veins are patent?

A member asked:

What does it mean to say portal and hepatic veins are patent?

A member asked:

Increased /coarse hepatic parenchymal echotexture (liver parenchymal disease ) with prominent portal vein and splenomegaly? wat it means

A member asked:

I have an ultrasound showing enlarged liver measuring 16.9 cm with raised echogencity,c.b.d,portal vein,ivc & hepatic veins are normal.

A member asked:

I was diagnosed recently with choledocal cyst anterior to porta hepatis communicating with left hepatic duct.what is the appropriate treatment?

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