Correlation of CT portography vascularture to child: Pugh classification of cirrhotic patients

Abstract

Aim: To study CT Portography vascularture in different stages of cirrhosis. Materials and Methods: Using 16 slice TOSHIBHA acquillon CT scanner machine liver triple phase study was performed in 80 cirrhotic patients. Based on the clinical and lab parameters like serum albumin and prothrombin time the patients were categorized into child “A” (40 patients),”B” (20 patients) and “C” (20 patients) “A” is compensated “B” and “C” are decompensated cirrhosis. Results: Esophageal and paraesophageal varices are the most common portosystemic collaterals. Ectopic varices, transhepatic shunts and extrahepatic shunts were seen mainly in the decompensated cirrhosis. All patients with child pugh “C” score had hepatic encephalopathy. Conclusion: Portosystemic collaterals can be correlated with child pugh classification in assessing the progression of liver cirrhosis to decompensated stage. So, from gastroesophageal varices to transhepatic and extrahepatic shunts the child pugh classification tends to increase representing a linear correlation.