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

Taha Ahmed Elmukashfi Elsheikh; Elsafi Ahmed Abdullah Balla; Ashraf Mustafa Mohammed Osman

doi:doi:10.11648/j.cajph.20200606.13

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

Taha Ahmed Elmukashfi Elsheikh, Elsafi Ahmed Abdullah Balla, Ashraf Mustafa Mohammed Osman

Published in Central African Journal of Public Health (Volume 6, Issue 6)

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), 2020. 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).
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[5]	American Association for the Study of Liver Diseases. 2013.
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[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.
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[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.
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[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

Taha Ahmed Elmukashfi Elsheikh

Department of Community Medicine, University of Khartoum, Khartoum, Sudan
Elsafi Ahmed Abdullah Balla

Department of Diagnostic Medical Ultrasound, Sudan University of Science and Technology, Khartoum, Sudan
Ashraf Mustafa Mohammed Osman

Alzaitona Specialized Hospital, Khartoum, Sudan

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APA Style

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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