Characterization Of Ascites Using Echo Texture

Abstract

Objectives: The Purpose of this study was to characterize the ascites fluid using echo texture and to compare the findings with laboratory results in order to predict the ascites type by imaging method for ascitic patients. Methods:53 Patients who underwent sonography for ascites between February 2012 and January 2014 were included in the study, the study was implemented in Wad-Medani Military hospital, Alia Specialist Hospital- Wad-Madani.Wad-medani teaching hospital, Nuclearal Cancer Institute- Wad-Madani and Omdurman Military Hospital, gray scale sonography of the abdomen was performed using Aloka SSD-500 and Honda SSD-500 with frequency (3.5 MHz) convex probe, the scanning was done on longitudinal and transverse scan for abdomen and pelvis, the patients ascites echo texture had been evaluated and the findings were correlated with ascites paracentesis results including total protein values ,total albumin, Serum ascites Albumin Gradient (SAAG ),ascitis type , liver and spleen texture as well as the ultrasound findings. Result: During this period,53patients (31male,22female) underwent sonography for ascitis,5(9.4%)had abdomen tuberculosis,1(1.9%) acute renal failure,2(3.8%)Ca breast,1(1.9%)Ca prostate,1(1.9%) Ca colon, 2(3.8%) Ca ovaries, 3(5.7%) Congestive heart disease, 6(11.3%) Chronic renal failure, 1(1.9%) cystadenocarcinoma, 2(3.8%) hepato cellular carcinoma, 1(1.9%) Hepatitis, 23(43.4%) Liver Cirrhosis, 1(1.9%) lymphoma, 1(1.9%) portal hyper tension, 2(3.8%) pelvis inflammatory diseases, 1(1.9%) Urinary bladder