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Journal of Medical Ultrasonics

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1987 - Vol.14

Vol.14 No.01

Original Article(原著)

(0022 - 0029)


Ultrasonic Diagnosis of Alcoholic Liver Diseases -Comparative Study with Peritoneoscopic and Histopathological Findings About the Shapes of the Right Lobe of the Liver-

住野 泰清1, 石井 耕司1, 相川 勝則1, 水吉 秀男1, 菅野 茂男1, 安部井 徹1, 野中 博子2, 佐々木 憲一3, 石井 誠4, 山崎 敏浩4, 山室 渡4, 上野 幸久4, 山寺 久5

Yasukiyo SUMINO1, Kouji ISHII1, Katsunori AIKAWA1, Hideo MIZUYOSHI1, Shigeo SUGANO1, Tooru ABEI1, Hiroko NONAKA2, Kenichi SASAKI3, Makoto ISHII4, Toshihiro YAMAZAKI4, Wataru YAMAMURO4, Yukihisa UENO4, Hisashi YAMADERA5

1東邦大学医学部第二内科, 2東邦大学医学部第一病理, 3東邦大学医学部第二病理, 4川崎中央病院内科, 5川崎中央病院超音波検査室

1Department of Second Internal Medicine, School of Medicine, Toho University, 2Department of First Pathology, School of Medicine, Toho University, 3Department of Second Pathology, School of Medicine, Toho University, 4Department of Internal Medicine, Kawasaki Central Hospital, 5Ultrasonic Laboratory, Kawasaki Central Hospital

キーワード : Ultrasonography, Ultrasonic diagnosis of liver disease, Alcoholic liver disease, Ultrasonic-pathologic correlation, Ultrasonic-peritoneoscopic correlation

There are many cases with liver diseases, whose livers are swollen in a manner, in which the inferior surface of the liver is protruded convexly. Especially, in a case with advanced liver fibrosis, the liver is swollen and the caudal edge of the right lobe is turning over to a ventral direction, which we call "Mekure-agari" sign.
The marginal shapes of the right lobe of the liver on the echogram were studied in 100 cases with liver diseases (liver cirrhosis: 21 cases, chronic hepatitis: 34 cases, acute hepatitis: 11 cases, fatty liver: 14 cases, alcoholic liver fibrosis: 12 cases, others: 8 cases), and these shapes were also compared with peritoneoscopic findings and histopathological changes. The ultrasonic appearances were consistent with those of peritoneoscopic findings, and this "Mekure-agari" sign was relatively specific to alcoholic liver diseases, with marked fibrosis. The shapes seen by US could be divided in 4 classes, which were useful to predict histological features of the livers.