Volume 8, Issue 27 (3-2002)
RJMS 2002, 8(27): 597-601 |
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Ghahramani S, Bolukani S. SURVEY OF VALUABILITY OF SONOGRAPHIC GALL BLADDER WALL PATTERNS IN DIFFERENTIATING CIRRHOTIC FROM MALIGNANT ASCITES. RJMS 2002; 8 (27) :597-601
URL: http://rjms.iums.ac.ir/article-1-384-en.html
URL: http://rjms.iums.ac.ir/article-1-384-en.html
Abstract: (18323 Views)
ABSTRACT
Among the causes of ascites, there is two kinds, including cirrhotic and malignant ascites that conventional diagnostic method for them is Paracentesis. This method is invasive and time consuming, however sonography is an easy and available method for providing valuable results in a short period of time. The aim of this study is survey of valuability of gallbladder wall sonography in discrimination between cirrhotic and malignant ascites. During the period of 1.5 years, from the patients with complaint of cirrhotic and malignant ascites, who refered to educational hospitals of Iran university we selected 50 patients and gallbladder wall thickness and patterns in them were studied. In all cirrhotic patients, gallbladder wall thickness was more than 5mm, and in 69% of them the wall was thick and Double layered, and in 31% the wall was thick and single layered, However in 71% of patients with malignancy, gallbladder wall thickness was normal. The result of this study was: The use of Sonographic gallbladder wall thickness and patterns as a predictor of cirrhotic and malignant ascites has a significant sensitivity and specificity.
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