[Prognostic judgment of fulminant hepatitis by measurement of hepatosplenic volume ratio by computed tomography].
The liver and spleen volume ratio (S/L ratio) was estimated with X-ray computed tomography and evaluated by comparison with the prognosis in 10 patients with fulminant hepatitis. S/L ratio of control group (n = 10) was 0.122 +/- 0.026 (mean +/- SD), that of the alive group with fulminant hepatitis (n = 5) was 0.112 +/- 0.021, and that of the dead group (n = 5) was 0.308 +/- 0.136. There is a significant difference between S/L ratio of control group and that of the dead group with fulminant hepatitis. The rise of S/L ratio on the patients with fulminant hepatitis reflects the liver atrophy or splenomegaly and the prognosis was poor. The prognosis of the patients with fulminant hepatitis, whose S/L ratio indicated the near value of control group, was good. The measurement of S/L ratio by computed tomography was considered to be useful to evaluate the prognosis of fulminant hepatitis.
Uetsuji
S
S
Department of Surgery, Kansai Medical University, Moriguchi, Japan.
Yamamura
M
M
Komada
H
H
Okuda
Y
Y
Hioki
K
K
Uedono
Y
Y
Tanaka
T
T
D000328:Adult; D002648:Child; D005260:Female; D006501:Hepatic Encephalopathy / Q000000981:diagnostic imaging / Q000401:mortality* / Q000628:therapy; D006801:Humans; D008099:Liver / Q000000981:diagnostic imaging*; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D013154:Spleen / Q000000981:diagnostic imaging*; D014057:Tomography, X-Ray Computed