Assessment of Caudate and Right Hepatic Lobes Ratio in Patients withLiver Cirrhosisusing Ultrasound

Abstract

The objective of this study to assessment of caudate lobe to right hepatic lobe in patients with liver cirrhosis in which the right lobe atrophies and caudate lobe hypertrophy. The study was conducted in Omdurman Teaching Hospital in the period from September 2015 to December 2015, for 40 patients of liver cirrhosis and 20 healthy adults from the same area as control group scanning for Abdomen using ultrasound machine Toshiba 3.5 mega hertz2. The caudate lobe and right were measured and liver size, beside other investigations like MRI , CT and laboratory tests to find out the main disease that led to cirrhosis of the liver. The result of this study when the right lobe atrophies to 8cm in position of AP transverse and caudate lobe hyper trophy to 4.8 cm when we divided the 4.8/8cm the ratio to be .6 in this ratio no liver cirrhosis seen, but when swelling of caudate lobe increases to 5.2cm and right lobe fixed in 8cm and divided 5.2/8 cm. The ratio to be .6s, this ratio will be an indication to the probability of cirrhosis of the liver ( border line) , but when the swelling of caudate lobe increases more than 5.2 and the right lobe decreased from 8cm the ratio to be more than .6s, this ratio indication for liver cirrhosis and liver will be in a small volume ( course or shrunken liver) that could reach to 4cm. The study concluded that the use of this ratio .6s between caudate lobe and right hepatic lobe is correct to diagnosisultrasound image. The study suggested that the presence of ultrasound devises in health centers terminal is very important because most of the patients cirrhosis come from areas peripheral and early detection of cirrhosis of the liver and the send the patients to the hospital specialized in treatment of liver diseases that must be by other devises such as CT, MRI and fibro scan which shorten the time to reach for diagnosis of rapid and accurate to help treat these patients and their recovery, god willing.