Role of duplex doppler in evaluation of portal hypertension as a comparative study between bilharzial and non-bilharzial causes

Duplex Doppler has become powerful diagnostic tool in illustrating the morphology and haemodynamics of portal hypertension. We found that the maximum and mean blood flow velocity of the portal vein were less than control group with no significant difference between bilharzial and non bilharzial groups, while blood flow velocity in splenic vein was slower in 13 cases 3 cases. Blood flow volume did not show significant changes. Congestion index was elevated in portal hypertension with no significant difference between bilharzial and non billiarzial groups

CT pelvimetry

Because of the possible oncogenic hazards of foetal irradiation, this study have investigated the feasibility of replacing the conventional method with low-dose digital radiographs [DR] generated on a CT scanner [DR pelvimetry]. This study included 20 full-term pregnant female. All of them were examined by CT pelvimetry [AP. Tr. an conjugate diameters] and ultrasonic assessment of BPD, AC and the expected foetal weight besides the mode of delivery were reported. The results showed that; 12 cases were delivered spontanously vaginally, 2 cases assisted vaginal delivery, and 4 cases delivered by C.S. due to CPD. The last two cases were delivered by C.S. due to foetal distress. From this study it appeared that, when only one diameter is short and the other diameters are normal provided that foetal measurements are within the average; vaginal delivery without mechanical assistance is expected

Ultrasound in abnormal early pregnancy: collective study, new signs and prognostic look

There are many reports in dealing with the U.S. signs of abnormal first trimester pregnancy. But few reports collected most of the signs and more fewer reports dealt with the prognostic look in the fetal outcome. In this report we tried to collect all the abnormal signs and prognostic risky signs impressive of poor fetal outcome

Ultrasonography of hip lesions in children

Sixty-five children with painful hip joint or a limp were examined by sonography and plain radiography. The clinical, radiological and sonographic findings were correlated with the final diagnosis. Transient synovitis was diagnosed in 40 children. Sonography had shown effusion in only 30 patients and plain films showed effusion in only 3 cases. Acute septic arthritis of hip joint was diagnosed in 3 cases and haemo-arthrosis in 3 cases where sonograms showed fluid collection and needle aspiration was done to confirm the diagnosis. Sonography showed earlier changes before plain films become positive in cases of early Perthes' disease and in congenital dislocation of the hip in neonates. Our conclusion is that ultrasonography is a useful, non-invasive and more sensitive than plain X-ray for detection hip joint effusion, early Perthes' disease and congenital dislocation of the hip in neonates

US in rectal sheath haematoma

Rectus sheath haematoma is actually rare condition, but due to its possible grave presentation it is in need for quick, informative diagnosis which could be obtained by U.S. examination and also the U.S. can help in follow-up of the cases treated either conservatively or surgically. This work presented the experience of U.S. in 14 cases of rectal sheath

US in optic disc edema

Optic disc edema is very important as the head of the optic nerve is the only part seen from the nerve. Ultrasound study of the edema in ten patients was found to be very simple and quick method for study of the degree of the edema and follow-up of the resolution of the edema by measuring the degree and distance of the edematous part

Ultrasound in acute appendicitis extended experience

Eighty [80] patients, fourty six [46] males and thirty four [34] females were examined by ultrasound as suspected cases of acute appendicitis. Their ages ranged from 8 to 50 years with the mean age about 29 years. The examination was done using 3.5, 5 and 7.5 MHz transducer of Aloka 630. Seventy [70] patients were operated upon and 10 cases were discharged. Operative findings and histopathological examination of the appendix were recorded. The sensitivity of ultrasound was 82%, specificity 97% and predictive accuracy of 93.5%