Liver cirrhosis existed since ancient times. It is widely speeded all over the world various causes:
a. Known and unknown
b. Signs and symptoms may be different for patients in
Biopsy is not the only and 100% positive test for Liver cirrhosis diagnosing. Clinical history, physical examination, signs and symptoms, blood works and Ultrasound evaluation can diagnose liver cirrhosis most of the time without the need of biopsy. Ultrasound is a helpful modality. Inexpensive, quick, available, noninvasive, portable, repeatable and more over non radiation. Elastography is a kind of ultrasonography recently started commercially.
PV dilation due to obstruction. Reverse flow to SMV, IMV, and SV. Blood that cannot enter into PV must return to systematic circulation via anatomotic sites. Results: Esophageal varices, rectal hemorrhoids, caput medusa, etc (Figure 15-29).