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Characterization of Abdominal Organs Among Patients with Ascites, Elribat Teaching Hospital, Sudan; Sonographic Study

Received: 23 July 2020    Accepted: 7 October 2020    Published: 9 November 2020
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Abstract

Background: Ascites is an accumulation of excessive fluid in peritoneal cavity. Aim: To determine sonographic appearances of abdominal organs among patients having ascites, attending at Ultrasound Department, Elribat Teaching Hospital, Sudan; 2016. Methods: The study design was a cross sectional study. Independent variable was ascites. Dependent variables were liver echogenisity, size, volume and width; pancreas echogenisity, size, volume and width; spleen echogenisity, size, volume and width; para-aortic lymph nodes echogenicity, diameter, volume, and width; ascetic fluid volume; and kidney echogenisity, size, volume and width. Twenty nine patients were selected. Investigation was done using abdominal ultrasound. Personal data (age, and sex) was obtained by direct interview. Data was analyzed using SPSS version 21. Chi square test at 95% CL was considered statistically significant. Results: About 65.5% of them were male; 31% were in age group (66-80) years, followed (24.1%) by age group (51-65) years, and least one (3.4%) was age group (21-35) years; mean age was 56.96 years; minimum age was 8 years; and maximum age was 88 years. Percentage of increased liver echogenicity, volume, width, and diameter; was found to be high. Width and diameter of spleen was increased among most of respondents. There was strong statistical association between echogenicity of liver and that of spleen; between echogenicity, diameter, width, and volume of para-aortic lymph nodes; and ascetic fluid volume. Regarding ascetic fluid volume there was equal distribution of moderate and gross ascites among them. There was statistical association between para-aortic lymph nodes volume and ascetic fluid volume. Echogenicity of spleen together with echogenicity of pancreas were statistically associated with echogenicity of para-aortic lymph nodes. Conclusion and recommendations: Involvement of liver was obvious among patients having ascites. Conduction of a research to correlate sonographic findings with diagnosis of disease is recommended.

Published in Central African Journal of Public Health (Volume 6, Issue 6)
DOI 10.11648/j.cajph.20200606.13
Page(s) 332-338
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Characterization of Abdominal Organs, Ascites, Sonographic Study, Sudan

References
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[2] Cesario K. B., Choure, A., Carey, W. D. Cirrhotic Ascites. Cleveland Clinic – Center for Continuing Education. Disease Management Project Hepatology. Published: April, 2013.
[3] British Society of Gastroenterology. Guidelines on the Management of Ascites in Cirrhosis; (2006).
[4] Runyon BA; AASLD Practice Guidelines Committee. Management of adult patients with ascites due to cirrhosis: Update 2012.
[5] American Association for the Study of Liver Diseases. 2013.
[6] Mehta G, Rothstein KD. Health maintenance issues in cirrhosis. Med Clin North Am. 2009; 93: 901-915.
[7] Garcia-Tsao G. Cirrhosis and its sequelae. In: Goldman L, Ausiello D, eds. Cecil Medicine. 24th ed. Philadelphia, Pa: Saunders Elsevier; 2011: chap 156.
[8] Su M. H. et al. Update on the differential diagnosis of gynecologic organ-related diseases in women presenting with ascites. Taiwanese Journal of Obstetrics & Gynecology 58 (2019) 587-591.
[9] Ueli B. Ascites in cattle: ultrasonographic findings and diagnosis. The Veterinary clinics of North America. Food animal practice, 2016; 32 (1): 55-83. DOI: https://doi.org/10.1016/j.cvfa.2015.09.004.
[10] Franz M. and HO rl W. H. The patient with end-stage renal failure and ascites. Nephrol Dial Transplant (1997) 12: 1070–1078.
[11] Natnaael Kidanu Yibalih, Dawit Wolday, Samuel Kinde, Gebru Mulugeta Weldearegay. External Quality Assessment on CD4+ T-Cell Count Using in-House Proficiency Testing Panels for CD4 Count Laboratories in Addis Ababa, Ethiopia. Ethiop J Health Sci. 2019; 29 (3): 383. doi: http://dx.doi.org/10.4314/ ejhs.v29i3.11.
[12] Alnumeiri MS, Ayad CE, Ahmed BH, Abdalla EA Evaluation of Ascites and its Etiology Using Ultrasonography. J Res Development, 2015; 3: 1 doi: 10.4172/2311-3278.1000119.
[13] Rose J. S. Ultrasound in abdominal trauma. Emerg Med Clin N Am, 2004; 22; 581–599.
[14] Espírito Santo M. C. C. D.; Azeredo, l. M.; Teles, H. M. S.; Gryschek, R. C. B.; Ferreira, C. S. & Neto V. A., Abdominal Ultrasound in the Evaluation of Fibrosis and Portal Hypertension in an Area of Schistosomiasis Low Endemicity. Rev. Inst. Med. Trop. S. Paulo 50 (2): 117-119, March-April, 2008.
[15] Kuiper JJ, van Buuren HR, de Man RA; Ascites in cirrhosis: a review of management and complications. Neth J Med. 2007 Sep; 65 (8): 283-8.
[16] Kashani A, Landaverde C, Medici V, et al; Fluid retention in cirrhosis: pathophysiology and management. QJM. 2008 Feb; 101 (2): 71-85. Epub 2008 Jan 9.
[17] Jain R., Sawhney S., Bhargava D. K., and Berry M. Diagnosis of Abdominal Tuberculosis: Sonographic Findings in Patients with Early Disease. AJR 1995; 165: 1391-1395.
[18] Agarwal D., Narayan S., Chakravarty J. & Sundar S. Ultrasonography for diagnosis of abdominal tuberculosis in hivinfectedpeople. Indian J Med Res 132, July 2010, pp 77-80.
[19] Sinkala E., et al. Clinical and ultrasonographic features of abdominal tuberculosis in HIV positive adults in Zambia. BMC Infectious Diseases 2009, 9: 44 doi: 10.1186/1471-2334-9-44.
[20] Atzori S., Vidili G., Delitala G. Usefulness of ultrasound in the diagnosis of peritoneal tuberculosis. J Infect DevCtries 2012; 6 (12): 886-890.
[21] Sood R. Ascites: Diagnosis and Management. Journal of Indian Academy of Clinical Medicine _ Vol. 5_ No. 1.
[22] Karin B. Cesario, AnujaChoure, William D. Carey. Cirrhotic Ascites. Cleveland Clinic – Center for Continuing Education. Disease Management Project Hepatology. Published: April, 2013.
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    Taha Ahmed Elmukashfi Elsheikh, Elsafi Ahmed Abdullah Balla, Ashraf Mustafa Mohammed Osman. (2020). Characterization of Abdominal Organs Among Patients with Ascites, Elribat Teaching Hospital, Sudan; Sonographic Study. Central African Journal of Public Health, 6(6), 332-338. https://doi.org/10.11648/j.cajph.20200606.13

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    ACS Style

    Taha Ahmed Elmukashfi Elsheikh; Elsafi Ahmed Abdullah Balla; Ashraf Mustafa Mohammed Osman. Characterization of Abdominal Organs Among Patients with Ascites, Elribat Teaching Hospital, Sudan; Sonographic Study. Cent. Afr. J. Public Health 2020, 6(6), 332-338. doi: 10.11648/j.cajph.20200606.13

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    AMA Style

    Taha Ahmed Elmukashfi Elsheikh, Elsafi Ahmed Abdullah Balla, Ashraf Mustafa Mohammed Osman. Characterization of Abdominal Organs Among Patients with Ascites, Elribat Teaching Hospital, Sudan; Sonographic Study. Cent Afr J Public Health. 2020;6(6):332-338. doi: 10.11648/j.cajph.20200606.13

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  • @article{10.11648/j.cajph.20200606.13,
      author = {Taha Ahmed Elmukashfi Elsheikh and Elsafi Ahmed Abdullah Balla and Ashraf Mustafa Mohammed Osman},
      title = {Characterization of Abdominal Organs Among Patients with Ascites, Elribat Teaching Hospital, Sudan; Sonographic Study},
      journal = {Central African Journal of Public Health},
      volume = {6},
      number = {6},
      pages = {332-338},
      doi = {10.11648/j.cajph.20200606.13},
      url = {https://doi.org/10.11648/j.cajph.20200606.13},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cajph.20200606.13},
      abstract = {Background: Ascites is an accumulation of excessive fluid in peritoneal cavity. Aim: To determine sonographic appearances of abdominal organs among patients having ascites, attending at Ultrasound Department, Elribat Teaching Hospital, Sudan; 2016. Methods: The study design was a cross sectional study. Independent variable was ascites. Dependent variables were liver echogenisity, size, volume and width; pancreas echogenisity, size, volume and width; spleen echogenisity, size, volume and width; para-aortic lymph nodes echogenicity, diameter, volume, and width; ascetic fluid volume; and kidney echogenisity, size, volume and width. Twenty nine patients were selected. Investigation was done using abdominal ultrasound. Personal data (age, and sex) was obtained by direct interview. Data was analyzed using SPSS version 21. Chi square test at 95% CL was considered statistically significant. Results: About 65.5% of them were male; 31% were in age group (66-80) years, followed (24.1%) by age group (51-65) years, and least one (3.4%) was age group (21-35) years; mean age was 56.96 years; minimum age was 8 years; and maximum age was 88 years. Percentage of increased liver echogenicity, volume, width, and diameter; was found to be high. Width and diameter of spleen was increased among most of respondents. There was strong statistical association between echogenicity of liver and that of spleen; between echogenicity, diameter, width, and volume of para-aortic lymph nodes; and ascetic fluid volume. Regarding ascetic fluid volume there was equal distribution of moderate and gross ascites among them. There was statistical association between para-aortic lymph nodes volume and ascetic fluid volume. Echogenicity of spleen together with echogenicity of pancreas were statistically associated with echogenicity of para-aortic lymph nodes. Conclusion and recommendations: Involvement of liver was obvious among patients having ascites. Conduction of a research to correlate sonographic findings with diagnosis of disease is recommended.},
     year = {2020}
    }
    

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  • TY  - JOUR
    T1  - Characterization of Abdominal Organs Among Patients with Ascites, Elribat Teaching Hospital, Sudan; Sonographic Study
    AU  - Taha Ahmed Elmukashfi Elsheikh
    AU  - Elsafi Ahmed Abdullah Balla
    AU  - Ashraf Mustafa Mohammed Osman
    Y1  - 2020/11/09
    PY  - 2020
    N1  - https://doi.org/10.11648/j.cajph.20200606.13
    DO  - 10.11648/j.cajph.20200606.13
    T2  - Central African Journal of Public Health
    JF  - Central African Journal of Public Health
    JO  - Central African Journal of Public Health
    SP  - 332
    EP  - 338
    PB  - Science Publishing Group
    SN  - 2575-5781
    UR  - https://doi.org/10.11648/j.cajph.20200606.13
    AB  - Background: Ascites is an accumulation of excessive fluid in peritoneal cavity. Aim: To determine sonographic appearances of abdominal organs among patients having ascites, attending at Ultrasound Department, Elribat Teaching Hospital, Sudan; 2016. Methods: The study design was a cross sectional study. Independent variable was ascites. Dependent variables were liver echogenisity, size, volume and width; pancreas echogenisity, size, volume and width; spleen echogenisity, size, volume and width; para-aortic lymph nodes echogenicity, diameter, volume, and width; ascetic fluid volume; and kidney echogenisity, size, volume and width. Twenty nine patients were selected. Investigation was done using abdominal ultrasound. Personal data (age, and sex) was obtained by direct interview. Data was analyzed using SPSS version 21. Chi square test at 95% CL was considered statistically significant. Results: About 65.5% of them were male; 31% were in age group (66-80) years, followed (24.1%) by age group (51-65) years, and least one (3.4%) was age group (21-35) years; mean age was 56.96 years; minimum age was 8 years; and maximum age was 88 years. Percentage of increased liver echogenicity, volume, width, and diameter; was found to be high. Width and diameter of spleen was increased among most of respondents. There was strong statistical association between echogenicity of liver and that of spleen; between echogenicity, diameter, width, and volume of para-aortic lymph nodes; and ascetic fluid volume. Regarding ascetic fluid volume there was equal distribution of moderate and gross ascites among them. There was statistical association between para-aortic lymph nodes volume and ascetic fluid volume. Echogenicity of spleen together with echogenicity of pancreas were statistically associated with echogenicity of para-aortic lymph nodes. Conclusion and recommendations: Involvement of liver was obvious among patients having ascites. Conduction of a research to correlate sonographic findings with diagnosis of disease is recommended.
    VL  - 6
    IS  - 6
    ER  - 

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Author Information
  • Department of Community Medicine, University of Khartoum, Khartoum, Sudan

  • Department of Diagnostic Medical Ultrasound, Sudan University of Science and Technology, Khartoum, Sudan

  • Alzaitona Specialized Hospital, Khartoum, Sudan

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