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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

Miliary hepatic tuberculosis. Gadolinium-enhanced, axial MRI, T1- weighted imagewith fat-suppression identifies multiple and small hypovascular nodules that couldnot be detected at follow-up examination after pertinent therapy.
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f07: Miliary hepatic tuberculosis. Gadolinium-enhanced, axial MRI, T1- weighted imagewith fat-suppression identifies multiple and small hypovascular nodules that couldnot be detected at follow-up examination after pertinent therapy.

Mentions: Manifestations of hepatic tuberculosis may be divided into two types, namely, miliaryand macronodular. The miliary form (Figure 7) isassociated with hematogenous dissemination, and hence the diffuse involvement of theliver(4,21). There is a diffuse enlargement of the liver and,despite the increase in hepatic enzyme levels, biliary dilatation may not be noticeabledue to the predominance of small-caliber ducts involvement(21). Most commonly it is related to miliary pulmonarytuberculosis(4,21).


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)

Miliary hepatic tuberculosis. Gadolinium-enhanced, axial MRI, T1- weighted imagewith fat-suppression identifies multiple and small hypovascular nodules that couldnot be detected at follow-up examination after pertinent therapy.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

f07: Miliary hepatic tuberculosis. Gadolinium-enhanced, axial MRI, T1- weighted imagewith fat-suppression identifies multiple and small hypovascular nodules that couldnot be detected at follow-up examination after pertinent therapy.
Mentions: Manifestations of hepatic tuberculosis may be divided into two types, namely, miliaryand macronodular. The miliary form (Figure 7) isassociated with hematogenous dissemination, and hence the diffuse involvement of theliver(4,21). There is a diffuse enlargement of the liver and,despite the increase in hepatic enzyme levels, biliary dilatation may not be noticeabledue to the predominance of small-caliber ducts involvement(21). Most commonly it is related to miliary pulmonarytuberculosis(4,21).

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