What Causes Intermittent Upper Right Abdominal Pain When Diagnosed With Hepatic Lesions?

Brief Answer:
need more info

Detailed Answer:
Hello,

first of all I suppose that your gallbladder is OK (?). Gallbladder disorders may cause symptoms just like the ones you've described. Liver lesions no matter what they are, are not supposed to cause pain. The liver can cause pain when it gets enlarged too fast. For example an injured liver with a developing hematoma may cause pain because the membrane that wraps the liver gets distended abruptly.

Liver lesions require investigation, so if you haven't done so already, you should do a CT scan and perhaps also an MRI scan to determine the nature of the lesions, unless the radiologist described the lesions as simple cysts. Liver lesions can be anything from simple cysts or calcified old inflammatory changes to tumors or abscesses.

If you'd like to upload test reports that you've done so far, it will be very helpful...

Kind Regards!

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Brief Answer:
simple cysts raise no concern

Detailed Answer:
Thanks for the additional information.

The liver lesions do not raise concern then. Simple cysts are benign conditions and they don't cause any problems.

I have some questions about your symptom. Is the pain steady in intensity? When you feel pain, does it come and go? What affects its intensity (body stance, movements, etc)? Does the itching involve the painful area only or the whole body? Are there any visible lesions (pimples or anything abnormal) ? Do you believe that there is something that causes this pain to reappear?

Pain in this area can be caused by the gallbladder conditions I've mentioned and this pattern is very characteristic, but it can also be caused by adjacent tissues and local musculoskeletal disorders. Sometimes pain of nerve origin may occur when the nerves are compressed in their way out of the spinal canal. In such cases there's a belt-like distribution of pain.

I'll be waiting for your answers...

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Brief Answer:
a conversion disorder?

Detailed Answer:
Feeling pain for 4 weeks without any evidence of organ inflammation despite adequate testing does not ring any bells... The BRCA2 positivity does not seem relevant, neither does the thyroid issue.

So when no disorder can be identified and the symptom is atypical then a conversion disorder has to be considered. This is a disorder that occurs in individuals undergoing significant psychological stress usually. It may present with body symptoms without any evidence of disease. The symptom is real but the cause is not. Has your doctor considered this possibility?

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