Abstract:
This a descriptive, analytic, study which was aimed to diagnosis the portal hypertension by assessing liver cirrhosis, measure vessel diameter ,spleen size, and identify the ascites and abnormal collateral route. The study was carried out 360 consecutive adult patients selected randomly, all patients ages above 30 years the study included 45 patients with normal portal systemic other with mansonic hepatosplenic schistosomiasis recruited from north Gezira State (Central Sudan) between January 2016 and January 2019. Patient were include if they came from a known endemic area for schistosomiasis ,hepato splenomegaly on physical examination. Patient exclude if ultrasound finding suggestive of portal hypertension causes by other diseases. Ultrasound examination was performed using B-mode grayscale Sono Scape A6 portable machine using convex probe with frequency range from 3.5 to 5 MHz . Sonographic features were observed, which included overall assessment of liver size portal vein splenic vein, splenic size , gall bladder wall thickness, collateral and ascite The study followed international scanning guide line and protocol to perform portal hypertension. The data was collected, classified, analyzed using SPSS. The results of the study showed that the male patients were dominant (67.8%). The study revealed that there were 209(58.1%) had portal hypertention, 106(29.4%) had periportal fibrosis. There were highly incidence of portal hypertention patients due to the majority of patients had schistosomiasis in advance stage associated with collateral in different sites, enlarged left liver lobe and wall thickness of gall bladder . Portal vein as well as splenic vein in patient with schistosomiasis were significantly greater when compare with the mean obtained from normal group . In conclusion ultrasoungraphic findings are usually highly specific, and can be considered sufficient to confirm the diagnosis of portal hypertension due to schistosomiasis especially in endemic area. . The study recommended that due to increase of portal hypertension in Gezera State need to do longitudinal study for these patient and follow up, and the study recommended to used Doppler to increase accuracy of diagnosis
