Background: Gallstone is a stone formed by the bile component within the gallbladder. It is a widespread disorder that affects a large number of people. There are many factors which increase the occurrence of gallstones. Liver cirrhosis is important risk factor for the formation of gallstone. The diagnosis of gallstone in cirrhosis is relatively easy by ultrasonography.
Objective: The aim of this study is to determine the frequency of gallstones in cirrhosis and non-cirrhosis detected by ultrasound.
Materials and Methods: One hundred and forty eight patients fulfilling the inclusion criteria were selected from Northwest General Hospital and Research center Peshawar for this cross sectional study. Their abdominal ultrasound was performed to check for gallstones and to diagnose liver cirrhosis.
Results: Out of a total 148 patients coming for abdominal ultrasound 64 (43.2%) males and 84 (56.8%) were females. In 148 patients, 11 were cirrhotic patients and 137 non-cirrhotic. In 11 cirrhotic patients, gallstones were present in 4 cases (female 36.4%) while absent in 7 cases. The tendency of gallstone in liver cirrhosis is higher in females compared to males. In 137 non-cirrhotic patients, the appearance of gallstone was diagnosed in 25 cases (18.2%), there were 9 males (6.57%) and 16 females (11.67%). Advance age, family history of gallstone, sex, gallbladder wall thickness 4mm or greater in diameter were significantly associated with gallstone disease in cirrhotic and non-cirrhotic patients.
Conclusion:
This study suggests that ultrasound is the best modality for diagnosis of gallstone. Gallstone occur more frequent in patients with liver cirrhosis than in non-cirrhosis (being double that of non-cirrhotic population). Prevalence of gallstones is higher in females than males. Major peoples affected by gallstones above 45 years. Anterior in 91 (60.7%), Posterior in 49 (32.7%) and Lateral in 10 (6.7%) patients respectively
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