Sonographic Evaluation of Obstructive Jaundice

Moawia Gameraddin^1,2*, Suzan Omer², Suliman Salih^1,3, Suha A. Elsayed², Abdalmonem Alshaikh¹

¹Department of Diagnostic Radiologic Technology, Faculty of Applied Medical Sciences, Al-Madinah Al-Munawwarah, Saudi Arabia.
²Faculty of Radiological Sciences and Medical Imaging, Alzaiem Alazhari University, Khartoum, Sudan.
³National Cancer Institute, University of Gezira, Wad Medani, Sudan.

DOI: 10.4236/ojmi.2015.51004                

Abstract

Purpose: This study was done to assess the role of ultrasound in diagnosis of obstructive jaundice and to identify the most common causes and symptoms. Materials and methods: The study took place in different Khartoum clinical centers and hospitals in the period between Jan 2014 and July 2014. A total of 150 patients with obstructive jaundice were examined using ultrasound machine, 3.5 - 7 MHz probe. Results: The study revealed that 65.33 of the study population with obstructive jaundice were female and 34.67% was male. The most common affected groups were 46 - 65 years old and 25 - 45 years old. The common causes of obstructive jaundice were biliary stones (61.33%) which were common in females and abdominal masses (32.67%) which were common in females, too. Nausea, yellowish discoloration and abdominal pain were the most common symptoms (98%, 97.33% and 96.67% respectively). The causes of obstructive jaundice showed significant difference between males and females (P-value = 0.002). Conclusion: Ultrasound was superior diagnostic tool in detecting and assessing biliary system obstruction, because it was easy, available, accurate and noninvasive. The ageing and gender were considered as risk factors of obstructive jaundice.

Keywords

Sonography, Evaluation, Obstructive, Jaundice

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1]	http://www.liverandpancreas.co.uk/the-management-of-obstructive-jaundice.php
[2]	Gardene, O.J., Bradbury, A.W. and Forsythe, J.L.R. (2002) Principle and Practice of Surgery. 4th Edition, Churchill Livingstone, Edinburgh, 278.
[3]	Devin, M. (2005) Ultrasound of the Abdomen and Small Parts. The Burwin Institute of Diagnostic Medical Ultrasound, Winnipeg. http://www.burwin.com/html/courses/ardms/ardms-003-004-ultrasonography-abdomen-small-parts.html
[4]	Martin, D.F. and Laasch, H.U. (2001) The Biliary Tract. In: Grainger, R.G., Allison, D., Adam, A. and Dixon, A.K., Eds., Grainger & Allison’s Diagnostic Radiology: A Textbook of Medical Imaging, 4th Edition, Churchill Livingstone, Harcourt Publishers Limited, London, 53-55.
[5]	Geier, A., Gartung, C., Dietrich, C.G., Lammert, F., Wasmuth, H.E. and Matern, S. (2003) Diagnosis of Cholestatic Disorders. Medizinische Klinik (Munich), 98, 499-509. http://dx.doi.org/10.1007/s00063-003-1294-5
[6]	Admassie, D., H/Yesus, A. and Denke, A. (2005) Validity of Ultrasonography in Diagnosing Obstructive Jaundice. East African Medical Journal, 82, 379-381.
[7]	Sharma, M.P. and Ahuja, V. (1999) Aetiological Spectrum of Obstructive Jaundice and Diagnostic Ability of Ultrasonography: A Clinician’s Perspective. Tropical Gastroenterology, 20,167-169.
[8]	Bisset, R. and Khan, A.N. (2002) Differential Diagnosis in Abdominal Ultrasound. W.B.Saunders, London, 135.
[9]	Gameraddin, M., Abdalgaffar, R. and Yousef, M. (2013) The Role of Ultrasound in Diagnosis of Obstructive Jaundice Causes in Sudanese Population. IOSR Journal of Nursing and Health Science, 1, 25-28. http://www.iosrjournals.org/iosr-jnhs/papers/vol1-issue4/E0142528.pdf http://dx.doi.org/10.9790/1959-0142528
[10]	Gracanin, A.G., Kujundzic, M., Petrovecki, M., Romic, Z. and Rahelic, D. (2013) Etiology and Epidemiology of Obstructive Jaundice in Continental Croatia. Collegium Antropologicum, 37, 131-133. http://www.ncbi.nlm.nih.gov/pubmed/23697262
[11]	Iqbal, J., Khan, Z., Afridi, F.G., Alam, A.W.J., Alam, M., Zarin, M., et al. (2008) Causes of Obstructive Jaundice. Pakistan Journal of Surgery, 24, 12-14.
[12]	Verma, S., Sahai, S., Gupta, P., Munshi, A. and Goyal, P. (2010) Obstructive Jaundice-Aetiological Spectrum, Clinical, Biochemical and Radiological Evaluation at a Tertiary Care Teaching Hospital. The Internet Journal of Tropical Medicine, 7. https://ispub.com/IJTM/7/2/13053#
[13]	Bonheur, J.L. and Ellis, P. (2001) Biliary Obstruction. Emedicine. http://www.emedicine.com/med/topic3426.htm
[14]	Ryan, D.P., Hong, T.S. and Bardeesy, N. (2014) Pancreatic Adenocarcinoma. New England Journal of Medicine, 371, 1039-1049. http://dx.doi.org/10.1056/NEJMra1404198
[15]	World Health Organization (2014) World Cancer Report, Chapter 5.7. WHO, Geneva.
[16]	http://www.healthgrades.com/conditions/obstructive-jaundice