Ultrasonography of pancreas in hepatosplenic schistosomiasis

ABSTRACT

This study was peformed on 30 patients with hepatosplenic schistosomiasis as well as to normal controls. 27 males and 13 females with ages ranging from 13 to 50 years. All cases were examined clinically and sonographically both dynamic linear array and static gray scale. The pancreas was well identified due to hepatosplenomegaly acting as acoustic window. The presence of ascitis acts as obstacle for pancreatic visualisation. The presence of bilharzial fibrosis of the pancreas is responsible for better visualisation where the pancreas was more echogenic than the liver in almost all the cases. An approach to pancreatic tail visualisation in the hepatosplenic patients was achieved through the enlarged spleen where the tail appears wedged between spleen and left kidney