RESUMEN
Background: Ultrasonography is very sensitive in detecting cystic lesions of liver, which helps in detecting various lesions, along with the internal structures of the body. One gets an opportunity to evaluate additional information of other abdominal organs that can modify the course of treatment and prognosis of patient. Aim: To evaluate the demographic variables, symptomatology ultrasonographic features and the diagnostic Accuracy, with the help of ultrasonography, in evaluating cystic lesions of liver. Materials and Methods: The study comprised of 50 patients with the clinical symptoms of cystic lesions of liver. They were evaluated with ultrasonography of abdomen where cystic lesions of liver were taken, who needed follow up and interventional procedure. The study was an observational, descriptive hospital based study. Results: 50 patients were evaluated, which comprised equal number of male and female (50%), due to various harmful habits where the Patients had presented with pain and swelling in right hypochondrium. Proper diagnosis cystic lesion of liver was evaluated by ultrasonography for further management. Conclusion: Ultrasound by virtue of non-invasiveness, lack of radiation hazard and by ability to demonstrate structural changes in organ is investigation of choice in liver pathology and it can easily detect solid to cystic lesions and characterize the size, shape and extent of lesion.
RESUMEN
The present study aimed to find out the prevalence and severity of acute viral hepatitis and fulminant hepatitis during pregnancy in North India. The study was conducted on 97 consecutive pregnant patients in third trimester with acute viral hepatitis (AVH) or fulminant hepatic failure (FHF). The patients were evaluated on the basis of history, examination, liver function profile and serological markers for hepatitis A,B,C and E viruses. Hepatitis E virus (HEV) was the causative agent in 47.4% of the cases of viral hepatitis and 52.6% were caused by non-E viruses(HAV-5.2%,HBV-7.2%,HCV-0%,non A-E 47.4%). HEV was responsible for 36.2% of the cases of AVH and 75% of the cases of FHF. The mortality was 24.7% (24/97). All of them had FHF. Eighteen of 24 cases (75%) who expired were HEV positive. The mortality rate was 39.1% in HEV group and 11.7% in non HEV group. Majority of patients (87.5%) who expired had died undelivered. Hepatitis E was the commonest etiological agent in those who had fulminant disease during pregnancy and was associated with high mortality rate.