Evaluation of Portal Hypertension among Sudanese Patients Using Ultrasonography

Abstract

Portal hypertension is pathologic increase in portal venous pressure, with diversion of portal blood to the systemic circulation. Ultrasonography including is the most convenient, cost-effective and noninvasive imaging technique in evaluation of portal hypertension. This is descriptive, cross-section study conducted to evaluate the portal vein, liver size and texture, splenic vein and spleen size in Sudanese portal hypertension patients. The study was carried out in Khartoum state in Ibn Seina Hospital, during the period from May to November 2018. 63 patients (47 male and 16 female) were enrolled in the study. Ultrasound examination was explained to each subject, a brief history obtained. Biodata, which include age and sex was recorded for each patient . The result of the study revealed age ranged from 23 to 67 years; The mean and standard deviation of age was 46.71 ± 12.045 years. Portal vein diameter ranged from 1.0 to 4.0 cm .The mean and standard deviation was 1.789 ± 0.4708 cm . Splenic vein ranged from 0.9 to 2.2 cm ; The mean and standard deviation was 1.430 ± 0.3572 cm splenic. In addition, the study showed a significant correlation between the portal vein diameter and splenic vein diameter measurements. Based on study findings it can be concluded that by evaluating the splenic and portal veins through transabdomenal ultrasonography, diagnosis of portal hypertension can be made