Abstract:
Caudate-right lobe ratio is used to assess the liver, usually in the setting
of cirrhosis, caused by chronic liver disease, in which there is atrophy of the
right lobe with hypertrophy of the caudate lobe. In this study this ratio was
done to patients infection with schistosma manosoni using ultrasound to
assess the relationship between caudate-right hepatic lobe ratio and liver size
change, liver cirrhosis and complications in schistosomiasis patient.
IV
It was carried on 50 adult patient of known cases of schistosomiasis in
Alfao area and 20 adult volunteers from the same area as control group
during September 2010 to March 2011, all were surveyed by ultrasound
using portable Toshiba scanner with 3,5 MHz probe. Abdominal scanning
was performed for all, measurement done for liver, caudate lobe right lobe
portal vein wall thickness portal vein caliber and spleen size following the
international guide line, measurement, scanning and protocol
The study showed that the male affected more than female with
incidences 62%, 38% respectively. It also showed that the most affected
patients were farmer worker with high incidence64 %. The study noticed the
most affected patient were those in the age ranging between [31 to50] years
with incidence 58 %
The study concluded that C/R lobe ratio has ability to detected change in
the liver size , texture and complication caused by schistosomiasis ,the C/R
lobe ratio has proportional relation to the portal vein wall thickness ,the
portal vein caliber and the spleen size and has reversal relation to the liver
size. The C/R lobe ratio in coarse liver more than 0.64 and in complication
more than 0.7