ComparativeStudy Between Ultrasonographyand MagneticResonance Cholangiopancreatography inDiagnosing Obstructive Jaundice

Abstract

This descriptive study was performed in Dar Alelj Specialized hospital, Aliaa Specialized hospitals and Turkish Medical Diagnostic Center hospital,inKhartoum-Sudan during the period from November 2017 _ February 2018. The aims of this study were to compare the ultrasonography (U/S) and magnetic resonancecholango- pancreatography (MRCP) in determination the site and cause of biliary obstruction. Also to evaluate the advantages and disadvantages of each imaging methods. The study was applied in 60 patients, (60%) females and (40%)males whowere examined by U/S and MRCP,using data collection sheet. The data were collected, classified, analyzed by using(SPSS). The analysis of the results found that the female patients were dominant (60%) VS (40%) males, most of the patients were from western of Sudan (40%), most affected age was the age over 6th decade constantly (48.4%) , the married patients were(90%), most of the patients were housewife (41.6%) and the patients with history of Diabetes were (36.7%). Abdominal ultrasound depicted the cause of obstruction in (43) patients out of 60 Patientincluded the three categories:common bile duct stone(35)Patients, pancreatic mass were (7), and strictures was (1)Patient. MRCP visualized correctly and diagnosed the causes of obstruction jaundice in (57) patients out of 60 patientsincluded the three finding:CBD stone was founding (43) patients, pancreatic mass in (9)and stricturesin (5)patients. The accuracy of MRCP in diagnosis obstruction jaundice was (100%) and ultrasound accuracy was (75.4%). The study recommendsutilizing theU/S as a first stepto diagnose the obstruction jaundice followed byMRCP, for further assessment.