The Capabilities of the Combi-Elasto and CEUS Ultrasound modes in the Diagnosis of Viral Hepatitis B

Purpose: To evaluate the capabilities of the Combi-Elasto and CEUS ultrasound modes in the diagnosis of viral hepatitis B on the clinical case example of the middle-aged patient with chronic viral hepatitis B in the acute stage.
Material and methods: Comprehensive study of the patient's medical history, outpatient medical record, results of clinical, laboratory, instrumental and morphological methods with independent retrospective analysis of the histologic specimen of the liver.
Results: The materials of observation and diagnostic search of the 54-year-old patient with chronic viral hepatitis B in the acute stage are presented. The diagnosis establishing took 3 months of examination in the infectious department and morphological study. This episode of the disease debuted with abdominal discomfort, weakness, yellowing of the sclera and skin, darkening of the urine and lightening of the feces. Survey the following results were obtained: Combi-Elasto data on admission — fibrosis F4 of the METAVIR scale (2.09), expressed process activity (1.60), absence of steatosis (0.54). At the initial stage, CEUS was performed with an assessment of quantitative and qualitative parameters on the same equipment, cirrhosis of the liver was excluded, chronic viral hepatitis, the acute stage was diagnosed, and appropriate treatment was prescribed. As a result of systematic observation after 3 months of repeated Combi-Elasto, the following results were obtained: fibrosis F1-2 of the METAVIR scale (1,30), average process activity (1.26), absence of steatosis (0.55).
Conclusion: The presented clinical observation demonstrates the high efficiency of combining 2 modes (Combi-Elasto and CEUS) on the same equipment in the diagnosis of chronic viral hepatitis in the acute stage.

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