Ultrasound Examination in the Patient with Ascites
1989; American College of Physicians; Volume: 110; Issue: 4 Linguagem: Inglês
10.7326/0003-4819-110-4-253
ISSN1539-3704
Autores Tópico(s)Liver Disease and Transplantation
ResumoEditorials15 February 1989Ultrasound Examination in the Patient with AscitesMartin Black, MD, Arnold C. Friedman, MDMartin Black, MD, Arnold C. Friedman, MDAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-110-4-253 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptThere can be little argument that the availability of noninvasive imaging techniques such as the ultrasound examination, computed tomographic (CT) scanning, and magnetic resonance (MR) imaging has greatly improved diagnosis and management of patients with liver disease. It has also demonstrated repeatedly the unreliability of clinical diagnoses. Several studies have shown that clinical estimation of liver size may be inaccurate in as many as 50% of examinations (1-3), and clinical diagnosis of ascites incorrect 33% of the time (4-6). Sonography can identify many other relevant features in addition to ascites and liver size. Mass lesions of the liver, spleen, kidneys,...References1. Sullivan S, Krasner N, and Williams R. The clinical estimation of liver size: a comparison of techniques and an analysis of the source of error. Br Med J. 1976;2:1042-3. CrossrefMedlineGoogle Scholar2. Niederau C, Sonnenberg A, Muller J, Erckenkbrecht J, Scholten T, and Fritsch W. Sonographic measurements of the normal liver, spleen, pancreas, and portal vein. Radiology. 1983;149:537-40. CrossrefMedlineGoogle Scholar3. Fritszche P, Robotti G, Schneekloth G, and Vock P. Measurement of liver volume by ultrasound and computed tomography. J Clin Ultrasound. 1983;11:299-303. CrossrefMedlineGoogle Scholar4. Goldberg B. Ultrasonic evaluation of intraperitoneal fluid. JAMA. 1976;235:2427-30. CrossrefMedlineGoogle Scholar5. Edell S and Gefter W. Ultrasonic differentiation of types of ascitic fluid. AJR. 1979;133:111-4. 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To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: Martin Black, MD; Arnold C. Friedman, MDAffiliations: Temple University School of Medicine Philadelphia, Pennsylvania Nextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byAscites and HyponatremiaAscites and Its ComplicationsAscitesAscitesAscitesAscitesOedema and ascitesThe changing scene of hepatic vein thrombosis: Recognition of asymptomatic casesDetection of free peritoneal fluid by transvaginal sonographyPortal vein thrombosis: A reviewCurrent Medical Management of Cirrhotic AscitesLarge-Volume Paracentesis in Treatment of AscitesPaul S. Kellerman, MD, Stuart L. Linas, MDMyeloproliferative disorders in portal vein thrombosis in adultsOedema and ascites 15 February 1989Volume 110, Issue 4Page: 253-255KeywordsAscitesComputed axial tomographyImaging techniquesKidneysLesionsLiverLiver diseasesMagnetic resonance imagingSpleenUltrasound imaging ePublished: 1 December 2008 Issue Published: 15 February 1989 PDF downloadLoading ...
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