Doctor insights on:
Hepatic Portal Vein
Blood to liver: The hepatic portal vein is a blood vessel which conducts blood from the gastrointestinal tract and spleen to the liver. ...Read more
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. ...Read more
Can you tell me how hepatic portal vein anastomose with superior vena cava and inferior vena cava?
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. ...Read more
If both hepatic portal vein and hepatic arteries have thrombosis how long would it take for the liver to become necrotic?
Liver ischemia: There are 2 blood supplies to the liver. The portal vein which supplies about 80% and the hepatic artery which supplies about 20%. If both are occluded the liver can become ischemic and die. This can happen right away. If one is occluded in one of the larger branches though blood can find other routs to get to the liver tissue. Also, the thrombus may recannalize and some blood may get through. ...Read more
Had CT of liver indicates hepatic portal vein mildly enlarge at 15 CM. Is this a sign of cirrhosis?
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. ...Read more
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." ...Read more
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? ...Read more
I have an ultrasound showing enlarged liver measuring 16.9 CM with raised echogencity, c.b.d, portal vein, ivc & hepatic veins are normal.
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. ...Read more
Increased /coarse hepatic parenchymal echotexture (liver parenchymal disease) with prominent portal vein and splenomegaly? Wat it means
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. ...Read more
I was diagnosed recently with Choledocal cyst anterior to porta hepatis communicating with left hepatic duct. What is the appropriate treatment?
Nothing unless producing symptoms and the only treatment would be surgical removal!
Hope this helps!
Dr Z ...Read more
Fusiform aneurysmal dilation 2 CM of proper hepatic artery in porta hepatis. Can someone explain this in plain English?
Weakening of artery: Fusiform refers to the shape (spindle-shaped, ie both facing walls) of the aneurysm, or a bulge in the artery. See medical-dictionary. Thefreedictionary. Com/fusiform+aneurysm for a diagram. The proper hepatic artery is the artery to the liver; it goes through an opening called the porta hepatis ("liver door") or transverse fissure. TTYD about a possible weakening in the artery to the liver. GH & GL ...Read more
MRI - the liver appears normal without mass, porta hepatis lymphadenopathy or venous thrombus. U/S hepatic echogencity normal. Please interpret.
Normal exams.: The description you have posted is that of a normal liver. Feel free to ask your primary physician to explain the outcome of all of your tests. If you would like a second opinion of your MRI, feel free to schedule a HealthTap Concierge Inbox Consult with me and I can review your images and provide a complete explanation. ...Read more
Portal vein: Is the vein that collects the blood reach in absorbed fatty particles, protein particles and sugars form the entire gut and will bring all these to the liver that will process them. Obstruction means that the the flow in this vein is "obstructed" it depends however where is the location: b4 the liver, in the liver or above the liver. Hope a gstroenterologist is overlooking this case... ...Read more
Pv: We usually use portal vein embolization to preferentially grow a segment of liver that we choose while shrinking a segment of liver we want to get rid of. For instance, if we want to respect part of the liver we can first get the remaing liver to hypertrophy by embolizing the vein that feeds the segment that's coming out ...Read more
TIPSS?: Patients with refractory ascites (maximum diuretic doses not sufficient to control ascites or unacceptable adverse effects/complications with diuretic therapy) can be managed with large-volume paracentesis (lvp) and Albumin replacement or transjugular intrahepatic portosystemic shunt (tipss) placement. Although tipss has been shown to be more effective than lvp and alb. Gives more encephalopathy. ...Read more
Anatomy: Simple answer - the portal venous system carries blood away from the intestines to the liver (where nutrients are metabolized). ...Read more
Depends on cause: Patients can present emergently with sudden onset of right upper quadrant pain, nausea, and/or fever. However, most commonly the symptoms of the primary infectious and inflammatory condition that led to portal vein obstruction predominate. For example, pain related to pancreatitis. In the chronic phase, patients most often present with complications related to bleeding from enlarged veins in belly. ...Read more
Portal vein: Portal vein thrombosis is clotting in hepatic portal vein, which can lead to portal hypertension and reduction in the blood supply to the liver. Complications include splenomegaly, esophageal and gastric varices (which can bleed), portal hypertensive gastropathy and ascites. treatments include anticoagulants, shunts, bypass surgery, and transplants. ...Read more
Hepc, cirohsis, report shows portal vein is mildly prominent and measures 12.5cm. No evidence of thrombosis. How bad is it?
It is not the best of signs. You have portal hypertension. I hope you are under the care of a GI doctor even better a liver specialist aka as a hepatologist.
Were you examined for signs of portal hypertension in your esophagus? If not, you should. Have you explored the possibility of a liver transplant. This is not my specialty so I am asking only from a theoretical point of view. ...Read more
Hyperchoic nodular area in the liver anterior to the main portal vein measuring up to 1.4 cm. What?
Radiologist's opinio: There are some fleshy benign conditions like hamangiomas, lipomas, cysts in the liver-congenital, cysts related to dog tape worms -hydatid cysts. Some are hyperechoic and some are hypo. If it is a single nodule, cirrhosis (scarring) is less likely as multiple nodules like this occur most of times. Do you have alcohol use, drug induced liver damage. Radiologist's opinion first, then get your dr's. ...Read more
I have heard the tipps procedure is good for about a year, is this right? Placed for portal vein hypertension with esld.
Stenosis: The incidence of tips stenosis with uncovered stents is high and increases with time. The rate of stenosis at 6-12 months is about 75%. If stenosis occurs, dilation and insertion of additional stents can be performed. Coated stents reduce the incidence of stenosis. Your doctor will periodically monitor your tips for patency. ...Read more
Had a liver ultrasound. What does "main portal vein is patent and demonstrates a systolic flow rate of 32.2cm/sec. Flow is hepatopetal, mean
It is: A normal portal vein.Get a more detailed answer ›
What is portal hypertension with enlargement of main portal vein with presence of perisplenic and perigastric variceals? How serious is this?
- Talk to a doctor online
- What is portal vein thrombosis?
- Acute portal vein thrombosis
- Ayurvedic herbs for portal vein thrombosis
- Cavernous transformation of the portal vein treatment
- Hepatopedal flow in the main portal vein
- Iatrogenic in hepatic veins
- Difference between potal vein and hepatic vein
- What are the usual effects of portal vein thrombosis?
- Blood clot in portal vein