The value of ultrasonography in assessment of portal hypertension in hepatosplenic schistosomiasis.
Ultrasonography can reveal most of the manifestations of portal hypertension complicating hepatosplenic schistosomiasis. However, direct demonstration of gastroesophageal varices by ultrasonography is still very difficult. An attempt was done to correlate sonographic features of portal hypertension with the degree of fibrosis to screen patients having varices and predicting their chance of bleeding. The results obtained were found to be consistent with the esophagogastric endoscopy and with history of hematemesis. Four parameters were used, size of spleen, degree of periportal fibrosis, presence of collaterals and portal vein diameter. A pilot field survey was also done adopting the same principle.
Department of Tropical Medicine, Faculty of Medicine, Kasr El Aini Hospital, Cairo University, Egypt.
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MF
Abdel Wahab
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Esmat
D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D003097:Collateral Circulation; D004932:Esophageal and Gastric Varices / Q000000981:diagnostic imaging / Q000209:etiology; D005355:Fibrosis; D006471:Gastrointestinal Hemorrhage / Q000209:etiology; D006396:Hematemesis / Q000453:epidemiology / Q000209:etiology; D006801:Humans; D006975:Hypertension, Portal / Q000000981:diagnostic imaging*; D015994:Incidence; D008109:Liver Diseases, Parasitic / Q000000981:diagnostic imaging* / Q000469:parasitology; D008875:Middle Aged; D010865:Pilot Projects; D012555:Schistosomiasis mansoni / Q000150:complications / Q000000981:diagnostic imaging*; D012720:Severity of Illness Index; D013158:Splenic Diseases / Q000000981:diagnostic imaging* / Q000469:parasitology; D014463:Ultrasonography