[Ultrasonographic aspect of the rectal wall in liver XXXX ].

@entity1 @entity82 @entity1819 @entity344 @entity188 @entity5584 @entity2312
The aim of this study was to assess the ultrasonographic abnormalities of the rectal wall and surrounding structures in @entity1 with @entity82 and to correlate these findings with endoscopy. From November 1992 to May 1993, 53 cirrhotic @entity1 and 30 control subjects were examined by transrectal ultrasonography and rectoscopy. In addition to rectoscopy and transrectal ultrasonography, @entity1 with @entity82 underwent an upper @entity344 . Ultrasonography @entity188 were detected in 32 cases of @entity82 (60.5%): a) in 21 cases the rectal wall thickness was greater than 5 mm and the sub-mucosa was thickened ( > or = 2 mm) and dissected by thin echo-free elements; b) the remaining 11 @entity1 presented, in addition to the previously described abnormalities, rounded elongated echo-free structures surrounding the rectum which were not found in the control group. All these 11 @entity1 had rectal varices at rectoscopy. In the group of cirrhotic @entity1 , rectoscopy showed abnormal dilated veins in 23 cases (43.5%) and rectal varices in 11 cases. Ultrasonographic and endoscopic @entity188 were more often visualized in the group of cirrhotic @entity1 than in the control group (P < 0.001). In @entity1 with @entity82 , the demonstration of rectal varices was associated with transrectal ultrasound abnormalities (P < 0.01), and in particular peri-rectal vascular formations. In cases of @entity82 the @entity5584 were not associated with @entity2312 at endoscopic inspection but were linked with large esophageal varices or @entity1819 demonstrated on endoscopy (P < 0.01).(ABSTRACT TRUNCATED AT 250 WORDS)
