Is the presence of echo-rich periportal cuffing in the liver indicator for abdominal inflammation in pediatric patients?

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dc.authoridturgal, ebru/0000-0003-0241-5878en_US
dc.authoridFIDAN, NURDAN/0000-0002-2995-6220en_US
dc.contributor.authorFidan, Nurdan
dc.contributor.authorYetis, Esra Ummuhan Mermi
dc.contributor.authorMurat, Muammer
dc.contributor.authorYucesoy, Cuneyt
dc.contributor.authorTurgal, Ebru
dc.contributor.authorMetin, Mehmet
dc.date.accessioned2024-07-12T21:37:58Z
dc.date.available2024-07-12T21:37:58Z
dc.date.issued2019en_US
dc.department[Belirlenecek]en_US
dc.description.abstractAims: Hyperechoic/echo-rich periportal cuffing (ErPC) is defined as an increase in echogenicity relative to the adjacent liver parenchyma. Thickening in the periportal area may occur with proliferation of bile ducts, hemorrhage, oedema, fibrosis, inflammatory changes or a combination of these. The aim of this study is to determine which intraabdominal inflammatory diseases arc associated with the presence of ErPC in the pediatric population and to calculate the sensitivity and specificity of this finding. Material and methods: In this prospective study 200 consecutive children who underwent abdominal ultrasonography (US) were included: group 1, the patient group (100 children with appendicitis, gastroenteritis, mesenteric lymphadenitis, intestinal infection, terminal ileitis and imagination as cause of intra-abdominal inflanunation) and group 2, the control group (100 children). Results: The ErPC was positive in 74 (74%) cases in the patient group and in 3 (3%) in the control group. According to final diagnoses, we found ErPC in most of patients with gastroenteritis (16/17), perforated appendicitis (10/11), mesenteric lymphadenitis (5/6) and acute appendicitis (27/37). The sensitivity of ErPC in indicating intra-abdominal inflammation was 0.80 and its specificity was 0.87. No significant correlation between ErPC and age, gender and CRP was found but a moderate and significant positive correlation between ErPC and WBC (p=0.010; r=0.255) was detected. Very good concordance between observers in terms of the presence of ErPC on abdominal US was found (concordance 97% and kappa 0.93). Conclusions: We consider that the presence of ErPC in pediatric patients, when evaluated alongside clinical and laboratory findings, has a high sensitivity and specificity for inflammatory intra-abdominal pathology.en_US
dc.identifier.doi10.11152/mu-1940
dc.identifier.endpage231en_US
dc.identifier.issn1844-4172
dc.identifier.issn2066-8643
dc.identifier.issue3en_US
dc.identifier.pmid31476200en_US
dc.identifier.scopus2-s2.0-85071759007en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage225en_US
dc.identifier.urihttps://doi.org/10.11152/mu-1940
dc.identifier.urihttps://hdl.handle.net/20.500.12415/6995
dc.identifier.volume21en_US
dc.identifier.wosWOS:000484121500003en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherSoc Romana Ultrasonografe Medicina Biologie-Srumben_US
dc.relation.ispartofMedical Ultrasonographyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.snmzKY04337
dc.subjectPeriportal Cuffingen_US
dc.subjectInflammationen_US
dc.subjectAcute Abdomenen_US
dc.subjectUltrasounden_US
dc.subjectChildrenen_US
dc.titleIs the presence of echo-rich periportal cuffing in the liver indicator for abdominal inflammation in pediatric patients?en_US
dc.typeArticle
dspace.entity.typePublication

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