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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: Miliary splenic tuberculosis. Contrast-enhanced CT showing minutehypoattenuating, nodules randomly distributed in the spleen. B:Macronodular splenic tuberculosis. Contrast-enhanced CT reveals a single,peripheral nodule in the spleen.
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f09: A: Miliary splenic tuberculosis. Contrast-enhanced CT showing minutehypoattenuating, nodules randomly distributed in the spleen. B:Macronodular splenic tuberculosis. Contrast-enhanced CT reveals a single,peripheral nodule in the spleen.

Mentions: As well as hepatic tuberculosis, there are two types of presentations of splenictuberculosis, namely, miliary and macronodular. The first and most common type (Figure 9A) usually manifests as moderatesplenomegaly, but minute hypodense lesions may be seen at CT. The macronodular form(Figure 9B) is extremely rare and is seeneither as multiple or solitary, rounded or ovoid nodules with variable appearance bothat CT and MRI, which may represent different disease stages. At contrast-enhancedT1-weighted sequences, one can observe peripheral enhancement or, less commonly, gradualand progressive enhancement(24).


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: Miliary splenic tuberculosis. Contrast-enhanced CT showing minutehypoattenuating, nodules randomly distributed in the spleen. B:Macronodular splenic tuberculosis. Contrast-enhanced CT reveals a single,peripheral nodule in the spleen.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

f09: A: Miliary splenic tuberculosis. Contrast-enhanced CT showing minutehypoattenuating, nodules randomly distributed in the spleen. B:Macronodular splenic tuberculosis. Contrast-enhanced CT reveals a single,peripheral nodule in the spleen.
Mentions: As well as hepatic tuberculosis, there are two types of presentations of splenictuberculosis, namely, miliary and macronodular. The first and most common type (Figure 9A) usually manifests as moderatesplenomegaly, but minute hypodense lesions may be seen at CT. The macronodular form(Figure 9B) is extremely rare and is seeneither as multiple or solitary, rounded or ovoid nodules with variable appearance bothat CT and MRI, which may represent different disease stages. At contrast-enhancedT1-weighted sequences, one can observe peripheral enhancement or, less commonly, gradualand progressive enhancement(24).

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