Characterization of Spleen in long standing Hemodialysis Patients Using Ultrasonography

Abstract

This study was conducted in the renal dialysis center in Khartoum state at Sudanese kidney transplanted association (Association specialized hospital) and Bahry hemodialysis center in the period from July 2018 to October 2018. The aim of this is study was to evaluate the spleen of long standing hemodialysis. 120 Patients under regular hemodialysis for 2 years or more were enrolled in the study. All patients were scanned with ultrasound machine with 3.5 MHz probe; spleen measurements and texture were obtained. The result of the study showed that the spleen volume was increased in the first years and then decreased to normal range. The volume of the spleen not related to duration of hemodialysis. Also it showed that there was reduction in echogenicity when duration increased, in addition the texture was not change from homogenecity to heterogeneity with the increased duration. The study concluded that ultrasound is a very useful tool for studying short and long term of hemodialysis patients and their follow-up, and determined a suitable time for intervention and management.