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[Hepatic echography in acute viral hepatitis].
M Corsi1, G Lorenzon, S Mesaglio
1Istituto di Radiologia I, Ospedale Regionale, Udine.
La Radiologia Medica
|June 1, 1988
Summary
Ultrasonography revealed gallbladder wall changes and enlarged lymph nodes in acute viral hepatitis cases. These findings, likely inflammatory, resolved completely, aiding differential diagnosis.
Area of Science:
- Hepatology
- Radiology
- Gastroenterology
Background:
- Acute viral hepatitis can present with varied ultrasonographic findings.
- Cholecystic alterations and periportal lymphadenopathy in hepatitis are not fully understood.
Observation:
- Four cases of acute viral hepatitis were evaluated using ultrasonography (US).
- US demonstrated gallbladder wall and/or content alterations in all cases.
- Enlarged periportal lymph nodes were observed in two cases.
Findings:
- All observed cholecystic and lymphnodal lesions showed complete regression on follow-up US.
- The alterations are hypothesized to be inflammatory (phlogistic) in nature.
- These US findings are not indicative of a specific hepatitis progression.
Implications:
- Recognizing these transient US findings is crucial for accurate diagnosis.
- Distinguishing these inflammatory changes from other gallbladder pathologies is important.
- Ultrasonography plays a key role in assessing complications and resolution of viral hepatitis.