Abdominal Ultrasound (Sonography of the Abdomen): Reasons and Process

Which organs are examined during abdominal sonography?

During an abdominal sonography, the doctor assesses the size, structure and position of the following abdominal organs and vessels:

  • Liver including the large liver vessels
  • Gall bladder and bile ducts
  • spleen
  • Right and left kidney
  • Pancreas (pancreas)
  • prostate
  • lymph nodes
  • Aorta, great vena cava and femoral veins
  • Urinary bladder (when full)
  • Uterus (uterus)
  • Intestine (only limited assessment possible)

The doctor can also use the abdominal ultrasound to detect free fluid in the abdominal cavity, for example an inflammatory effusion or blood.

How should I prepare for abdominal sonography?

There are no special preparation measures for the usual abdominal ultrasound examinations. You do not need to fast, but it is advisable to avoid large meals or carbonated drinks: Otherwise the intestines will be too full of gas and overlay the other organs. If your abdominal sonography is performed in an office, it is best to wear loose clothing so that you can easily expose your abdomen (including the lower abdomen).

How does abdominal sonography work?

As the liver and spleen are partially covered by the ribs, the doctor asks the patient to take a deep breath and hold their breath a little so that the organs are pushed down through the diaphragm. If abdominal sonography reveals anything abnormal, such as a tumor or a change in tissue structure, the doctor will arrange for further examinations.