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Abdominal tuberculosis: a radiological review with emphasis on computed tomography and magnetic resonance imaging findings.

da Rocha EL, Pedrassa BC, Bormann RL, Kierszenbaum ML, Torres LR, D'Ippolito G - Radiol Bras (2015 May-Jun)

Bottom Line: It may be confused with several different conditions such as inflammatory bowel disease, cancer and other infectious diseases.Delay in the diagnosis may result in significantly increased morbidity, and therefore an early recognition of the condition is essential for proper treatment.Abstract available from the publisher.

View Article: PubMed Central - PubMed

Affiliation: MDs, Radiologists at Unit of Abdomen, Department of Imaging Diagnosis - Escola Paulista de Medicina da Universidade Federal de São Paulo (EPM-Unifesp), São Paulo, SP, Brazil.

ABSTRACT
Tuberculosis is a disease whose incidence has increased principally as a consequence of HIV infection and use of immunosuppressive drugs. The abdomen is the most common site of extrapulmonary tuberculosis. It may be confused with several different conditions such as inflammatory bowel disease, cancer and other infectious diseases. Delay in the diagnosis may result in significantly increased morbidity, and therefore an early recognition of the condition is essential for proper treatment. In the present essay, cases with confirmed diagnosis of abdominal tuberculosis were assessed by means of computed tomography and magnetic resonance imaging, demonstrating the involvement of different organs and systems, and presentations which frequently lead radiologists to a diagnostic dilemma. A brief literature review was focused on imaging findings and their respective prevalence.

No MeSH data available.


Related in: MedlinePlus

A: Tuberculosis of the cecum and ascending colon. Note the marked,irregular parietal thickening, decreased luminal diameter and densification ofadjacent fat planes at the level of the cecum, segment most frequently affected bytuberculosis, adjacent to the region of the ileocecal valve and ascending colon.B: Rectal tuberculosis in another patient. CT image demonstratesirregular, focal thickening, decreased luminal diameter and densification ofadjacent fat planes at the level of the rectum, a segment that is rarely affectedby tuberculosis. This lesion resembles neoplastic involvement.
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f05: A: Tuberculosis of the cecum and ascending colon. Note the marked,irregular parietal thickening, decreased luminal diameter and densification ofadjacent fat planes at the level of the cecum, segment most frequently affected bytuberculosis, adjacent to the region of the ileocecal valve and ascending colon.B: Rectal tuberculosis in another patient. CT image demonstratesirregular, focal thickening, decreased luminal diameter and densification ofadjacent fat planes at the level of the rectum, a segment that is rarely affectedby tuberculosis. This lesion resembles neoplastic involvement.

Mentions: Tuberculosis may involve any gastrointestinal tract segment, but there is apreponderance in the ileocecal valve, terminal ileum and cecum(7,12,16,18), which occurs in up to 90% of intestinal tuberculosis cases (Figure 5A)(9,12,16).


Abdominal tuberculosis: a radiological review with emphasis on computed tomography and magnetic resonance imaging findings.

da Rocha EL, Pedrassa BC, Bormann RL, Kierszenbaum ML, Torres LR, D'Ippolito G - Radiol Bras (2015 May-Jun)

A: Tuberculosis of the cecum and ascending colon. Note the marked,irregular parietal thickening, decreased luminal diameter and densification ofadjacent fat planes at the level of the cecum, segment most frequently affected bytuberculosis, adjacent to the region of the ileocecal valve and ascending colon.B: Rectal tuberculosis in another patient. CT image demonstratesirregular, focal thickening, decreased luminal diameter and densification ofadjacent fat planes at the level of the rectum, a segment that is rarely affectedby tuberculosis. This lesion resembles neoplastic involvement.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4492571&req=5

f05: A: Tuberculosis of the cecum and ascending colon. Note the marked,irregular parietal thickening, decreased luminal diameter and densification ofadjacent fat planes at the level of the cecum, segment most frequently affected bytuberculosis, adjacent to the region of the ileocecal valve and ascending colon.B: Rectal tuberculosis in another patient. CT image demonstratesirregular, focal thickening, decreased luminal diameter and densification ofadjacent fat planes at the level of the rectum, a segment that is rarely affectedby tuberculosis. This lesion resembles neoplastic involvement.
Mentions: Tuberculosis may involve any gastrointestinal tract segment, but there is apreponderance in the ileocecal valve, terminal ileum and cecum(7,12,16,18), which occurs in up to 90% of intestinal tuberculosis cases (Figure 5A)(9,12,16).

Bottom Line: It may be confused with several different conditions such as inflammatory bowel disease, cancer and other infectious diseases.Delay in the diagnosis may result in significantly increased morbidity, and therefore an early recognition of the condition is essential for proper treatment.Abstract available from the publisher.

View Article: PubMed Central - PubMed

Affiliation: MDs, Radiologists at Unit of Abdomen, Department of Imaging Diagnosis - Escola Paulista de Medicina da Universidade Federal de São Paulo (EPM-Unifesp), São Paulo, SP, Brazil.

ABSTRACT
Tuberculosis is a disease whose incidence has increased principally as a consequence of HIV infection and use of immunosuppressive drugs. The abdomen is the most common site of extrapulmonary tuberculosis. It may be confused with several different conditions such as inflammatory bowel disease, cancer and other infectious diseases. Delay in the diagnosis may result in significantly increased morbidity, and therefore an early recognition of the condition is essential for proper treatment. In the present essay, cases with confirmed diagnosis of abdominal tuberculosis were assessed by means of computed tomography and magnetic resonance imaging, demonstrating the involvement of different organs and systems, and presentations which frequently lead radiologists to a diagnostic dilemma. A brief literature review was focused on imaging findings and their respective prevalence.

No MeSH data available.


Related in: MedlinePlus