Ultrasound manifestations of acute viral hepatitis a in children

Abstract

26 children with HAV (12 boys and 14 girls) - mean age 13.2 ± 3.3 years and 21 children (8 boys and 13 girls) - mean age 14.3 ± 2.6 years were examined. In all cases, clinical laboratory examination, determined the level of ALT, AST, alkaline phosphatase. Ultrasound was performed on ultrasound systems Aplio 500 and MyLab Twice. Clinical manifestations of HAV consisted of anorexia (70%), nausea and vomiting (66%), fever (80%), jaundice (85%), dark urine (85%), upper abdominal pain (20%). The following echographic changes were determined: hepatomegaly and reduction of decreased echogenicity by 88.5%,reduced gallbladder 92%, thickening of the gallbladder wall 85%, double contour of the gallbladder wall 46%, increase in lymph node size: in the hepatoduodenal ligament 46% and mesenteric 73%, splenomegaly in 100% Ultrasound examination of the abdominal should be performed in all patients with clinical suspicion of acute viral hepatitis A and jaundice. Abdominal ultrasound examination is an important additional tool for monitoring the dynamics of HAV.