Study of the Liver in Marasmus and Kwashior by Using Ultralsound

Abstract

This Study Show Ultrasound findings and evaluation of liver in kwashiorkor and marasmus patients. It was conducted at Radiology department in Ultrasound unit of Bashaier and Mohammed- Elameen hospitals for pediatrics and Lab unit of Khartoum Teaching hospital during the period from (April to September2014) The study include a sample of 40patients which was divided in two groups- group one 27 marasmic patient's (6 female – 21 male)–group two 13 kwashiorkor patients (6 female – 7 male). The most affected age group was from the ages between (7-61month) and their weights between (3-11 kg) both males and females. The mild fatty liver was found in 18patients as 13 marasmic patients and 5 kowashikor. The mid Fatty liver was found in 8pateints as 5marasmic patients and 3 of kowashikor patients and normal liver texture in 18 cases. Liver function test results were found the presence of protein liver form (2.5 – 4.6) (1 marsmus - 11kowashikor) , (5.6 – 7.7) (15marasmas – 2 Kowashikor) and less than 7.7 (11 marasmus) . It was found that ultrasound imaging and lab test are complementary modalities in the diagnosis of malnutrition cases for it’s high ability in detecting the changes in liver texture as well as the values of liver protein.