Zoneraich, Samuel; Zoneraich, Olga
April 1971
Angiology;Apr1971, Vol. 22 Issue 4, p197
Academic Journal
Two hundred and forty patients hospitalized with alcoholic hepatitis and liver cirrhosis, 40 patients with malignant hepatoma and 17 with adenocarcinoma of the pancreas were studied prospectively for abdominal murmurs. Phonoarteriographic studies confirmed the existence of a bruit (200-300 Hz) in 7 patients with liver disease and one with pancreatic carcinoma. In 4, the murmurs were systolo-diastolic and in 3, systolic. There was a correlation between the dynamic changes of the bruits and the clinical aspect in 2 patients with alcoholic hepatitis. Sudden appearance of a murmur in the left hypochondrium confirmed the extension of the carcinomatous tissue which surrounded the splenic artery. Adding precision to clinical auscultation, phonoarteriography establishes distinct characteristics of coexistent abdominal murmurs of arteriosclerotic origin. Selective angiography and necropsy confirmed the value of quantitating abdominal murmurs by increasing their diagnostic significance in liver and pancreatic disease.


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