Characterization of the liver in patient with jaundice by using ultrasound

Abstract

The liver is largest visceral organ in the body, in the Rt hypochondrium and epigastric region (Rt upper quadrant), extending into the Lt upper quadrant. Divided into three lobes Rt, Lt and caudate lobe, attached to the anterior abdominal wall by the falciform ligament, additional folds of peritoneum connect the liver to the stomach, duodenum and diaphragm. The aim of this study is evaluate the changes occurs to the liver in case of jaundice as a result of different causes, using ultrasound. Thirty patients are included in this study, their ages ranged between (15-75) years old and different genders. Ultrasound machine Esaote my lab and Siemens, with probe 5MHZ are used to measure the liver size, CBD diameter, GB wall thickness, and characterizing the shape and texture of liver. Moreover that CBD, GB stone are identified. The results of the study found that the changes occurs to the liver related to the different causes of jaundice as follows: 36.7% of patients have normal liver size ranged from 10.5-14cm,56.6% have liver more than 14cm,6.7% have shrunken liver. 30% of patients have a homogeneous liver texture, 40% hyperechoic, 30% hypoechio echoic liver texture. 93.3% of patients have normal CBD diameter (4-6mm), 6.7% more than 6mm. 6.7% of patients have CBD stone 93.3% without stone. 73.3% of patients have normal GB wall thickness (2-3mm), 26.7% more than 3mm. 10% of patients have solitary GB stone, 10% multiple stone 80% of them without stone.