Sonographic Association between Fatty Liver and Gall Bladder Stones among all Adult Patients Visiting Private Clinics of Lahore City

Background: Fatty liver (chronic liver disease) was most commonly found associated with gall stones. It occurs due to the accumulation of lipid in hepatocytes mainly triglyceride. Due to a high incidence of obesity in the population, the risk of fatty liver and gall stones also increases. In Pakistani population, its prevalence of fatty liver was 10 - 14 %. Fatty liver and gall stones could easily be observed on ultrasound. Objective: To determine the association of fatty liver with gall stones in the patients younger than 50 years. Methods: This Cross-sectional descriptive study was conducted at Park view diagnostic center, Sharif Medical City Hospital, and Central Park Hospital. All the adult patients younger than 50 years diagnosed with gall stones were included. Ultrasound machine Toshiba Xario XG was used to perform this research to determine the association of fatty liver with gallbladder stones in the patient younger than 50 years. Fatty liver disease and gall stones were diagnosed on a trans-Abdominal scan by using a curved array transducer of 2.5 to 5MHz frequency. Results: Total 138 patients diagnosed with gall bladder stones were included, among them fatty liver disease was found in 95(68.8%) patients in which most of them were females. The individuals of 36-50 years were mainly involved while under the age of 30 years were rarely involved in gall bladder stones as well as fatty liver. Conclusions: We observed that gall stones are associated with fatty liver disease. Moreover, fatty liver disease was more common in females than males.