What Causes Pain Under The Right Rib Cage?

Posted on Thu, 23 Feb 2017

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Thu, 23 Feb 2017 Answered on

Sat, 11 Mar 2017 Last reviewed on

Question : Want to know about pain in right side rib area and some on left side that got extremely bad on January 4th. Several tests thinking I had lever mets and thousands of dollars later I am still not confident in what is causing my pain and thinking I have stage 4 cancer. Have had US, CT, and contrast MRI all done with multiple bloodwork. Just can't get cancer out of my head although being told this last MRI is the best test I could of had. Hard for me to believe I would have that many hemangiomas and cysts at only 48.

Answered by Dr. Deepak Sundriyal (5 hours later)

Brief Answer:
Hello. A biopsy will be definitive

Detailed Answer:
Hello dear. I have gone through the details. So tou have a long standing disease which looks like hemangioma with some having solid components.
Only other condition which i can think of is a low grade carcinoid tumor or very rarely a low grade lymphoma which can remain stable for years together. I wonder whether somebody attempted a needle biopsy or not because that will be confirmative.
Pain can be there at times due to stretching of liver lesion.
Hope you understand. You can get a biopsy done.
Thanks

Above answer was peer-reviewed by : Dr. Remy Koshy

Follow up: Dr. Deepak Sundriyal (58 minutes later)

the head surgeon would not do biopsy because he said in his opinion it was definitely a hemangioma and bleeding factors....does this sound reasonable of him?

Answered by Dr. Deepak Sundriyal (15 minutes later)

Brief Answer:
A second opinion can be taken from radiologist

Detailed Answer:
Hello dear. In that case, a second opinion can be taken from a radiologist and a less invasive procedure called fnac can be done.
Thanks and regards

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Above answer was peer-reviewed by : Dr. Remy Koshy