Abstract:
The wide range of causes of jaundice demands ultrasound evaluation to
differentiate between the most common three causes: hepatic, hemolytic and
obstructive causes. In all three conditions ultrasound plays an important role.
In this study, we present a broad overview of the subject, with discussions of the
wide series of causes of jaundice (hemolytic, hepatic, and posthepatic) in the
jaundiced patient and descriptions of the ultrasonographic findings and those of
correlative imaging studies when needed. The accuracy of diagnosing jaundice using
ultrasound was 89%, and it is highly accurate in differentiating obstructive and
nonubstructive jaundice (96%).
The study include 108 patients. They are clinically jaundiced, Ultrasound
examination was done, include all abdominal organs (liver , G/B, CBD, pancreas,
spleen, portal vein, kidneys, and pelvic organs ).
50% of the patients got abstractive jaundice the most common cause was, GB
and CBD stones, pancreatic carcinoma, cholanitis, pancreatitis. 42% was found to
have hepatic jaundice (cirrhosis, hepatitis fatty liver, HCC).
11% of the patients Ultrasound reveal normal appearance. 4 of them was
neonatal jaundice due to physiological process. The remain (7) patients have
hemolytic jaundice (sickle cell anemia).
