Evaluation of Caudate and Right Hepatic Lobes Ratio in patient with Schistosoma mansoni Using Ultrasound in Al- Fao Area

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