Sonographic Features of the Liver Among Females With Type 2 Diabetes

The craniocaudal (CC) length of the right lobe of the liver (RLL), liver texture, size of the main portal vein, and hemodynamics of the hepatic artery were sonographically evaluated in female diabetic and nondiabetic patients. A one-way analysis of variance, a Tukey post hoc test, and a Kruskal-Wallis with post hoc Dunn’s test were employed. Nonsymptomatic differences in liver anatomy were detected among patients with noncontrolled type 2 diabetes. They exhibited the longest CC length of the RLL (P = .04) as well as an enlarged main portal vein (P = .04). The hepatic artery resistive index was higher among patients with controlled type 2 diabetes (P = .04). These differences were not attributed to fatty infiltration. Patients with noncontrolled type 2 diabetes exhibited significantly higher alanine aminotransferase, lower high-density lipoprotein cholesterol, and higher triglyceride levels than non–type 2 diabetes patients. Longitudinal sonography may provide valuable diagnostic information in the management of type 2 diabetes