PERINATOLOGIYA I PEDIATRIYA.2014.1(57):56-58; doi 10.15574/PP.2014.57.56 

State of the hepatobiliary system in infants with liver disorders, according to the data of ultrasound diagnostics

O.G. Shadrin, N.F. Chernega, B.A. Tarasyuk

SI «Institute of Pediatrics, Obstetrics and Gynecology of NAMS of Ukraine», Kiev, Ukraine

Objective — to examine the state of the hepatobiliary system in infants with liver disorders according to the data of ultrasound diagnosis.

Patients and methods. The data of ultrasound examination of the hepatobiliary system of 86 infants is analyzed, including 50 infants with congenital hepatitis (group I), 24 — with chronic hepatitis (group II), 12 — with biliary atresia (group III) and 15 healthy children of the appropriate age. At the period of the study duration of congenital hepatitis consisted of averaged 1–3 months and chronic — from 6 months to 3 years. Children with biliary atresia were examined at the age of 2–4 months.

Results. Analysis of changes of echographic structure of the hepatobiliary system in infants with liver disorders is pointed at a high clinical diagnostic and prognostic significance of ultrasound diagnosis. In congenital hepatitis maximum liver enlargement is observed mainly at the expense of the right lobe, the inactive process may not have changes of consistency according to the ultrasound characteristics and the degree of hepatomegaly not always correlate with the level of disease severity.

Conclusions. In infants with chronic hepatitis, liver enlargement is equal to clinical activity of the process.

Key words: ultrasound diagnosis, liver disorder, infants.

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