Arooj Sadaf, Mukhtar Muhammad Umer, Abbas Farnaz
King Edward Medical University, Lahore, Pakistan.
Department of Pediatrics, King Edward Medical University, Lahore, Pakistan.
BMC Res Notes. 2021 Mar 10;14(1):95. doi: 10.1186/s13104-021-05510-1.
Acute viral hepatitis (AVH) caused by hepatitis virus A and hepatitis virus E is one of the many epidemics that plague third world countries like Pakistan. The serological tests required for the diagnosis of acute viral hepatitis may be unavailable or unaffordable to the denizens of a developing country like Pakistan. In such a scenario, the clinical manifestations and the ultrasonographic findings are the only diagnostic criteria usually present and these can be used to support a clinical diagnosis. This study aims to judge the utility of ultrasound in the diagnosis of AVH.
Among the forty-seven subjects of this study, gall bladder wall thickening (GWT) was the most common radiological finding seen in 39 (82.9%) patients. Pericholecystic edema was the second most common finding, seen in 31 (65.9%) patients. Starry sky appearance of the liver was observed in 30 (63.8) patients. Hepatomegaly and ascites were seen in 28 (59.5%) and 25 (53.2%) of the patients, respectively. The ultrasonographic findings of GWT, pericholecystic edema, and starry sky appearance of the liver were the most common ultrasonographic findings associated with AVH.
甲型肝炎病毒和戊型肝炎病毒引起的急性病毒性肝炎（AVH）是困扰巴基斯坦等第三世界国家的众多流行病之一。对于像巴基斯坦这样的发展中国家的居民来说，诊断急性病毒性肝炎所需的血清学检测可能无法获得或负担不起。在这种情况下，临床表现和超声检查结果是通常仅有的诊断标准，可用于支持临床诊断。本研究旨在评估超声在急性病毒性肝炎诊断中的效用。
在本研究的47名受试者中，胆囊壁增厚（GWT）是最常见的影像学表现，见于39例（82.9%）患者。胆囊周围水肿是第二常见的表现，见于31例（65.9%）患者。30例（63.8%）患者观察到肝脏呈星空样外观。肝肿大和腹水分别见于28例（59.5%）和25例（53.2%）患者。胆囊壁增厚、胆囊周围水肿和肝脏星空样外观的超声检查结果是与急性病毒性肝炎相关的最常见超声检查结果。
