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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

Iliopsoas muscle abscess. CT shows voluminous fluid collection with ring-shapedenhancement and thick capsule (arrows)
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f20: Iliopsoas muscle abscess. CT shows voluminous fluid collection with ring-shapedenhancement and thick capsule (arrows)

Mentions: Iliopsoas muscle abscess (Figure 20) was a wellknown complication of vertebral tuberculosis until the implementation of modernchemotherapy schemes(32). It may beclassified into primary (30%) or secondary (70%), depending on the presence of anunderlying disease, such as, tuberculosis. In developing countries, vertebraltuberculosis (Pott's disease) is considered to be the most common cause of psoas muscleabscess; however, few reports are found in the literature about psoas muscle abscess asa primary presentation of tuberculosis(33). The presence of calcification in the abscess is virtuallypathognomonic of tuberculosis(12).


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)

Iliopsoas muscle abscess. CT shows voluminous fluid collection with ring-shapedenhancement and thick capsule (arrows)
© Copyright Policy - open-access
Related In: Results  -  Collection

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

f20: Iliopsoas muscle abscess. CT shows voluminous fluid collection with ring-shapedenhancement and thick capsule (arrows)
Mentions: Iliopsoas muscle abscess (Figure 20) was a wellknown complication of vertebral tuberculosis until the implementation of modernchemotherapy schemes(32). It may beclassified into primary (30%) or secondary (70%), depending on the presence of anunderlying disease, such as, tuberculosis. In developing countries, vertebraltuberculosis (Pott's disease) is considered to be the most common cause of psoas muscleabscess; however, few reports are found in the literature about psoas muscle abscess asa primary presentation of tuberculosis(33). The presence of calcification in the abscess is virtuallypathognomonic of tuberculosis(12).

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