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Title: CT of abdominal tuberculosis

Abstract

Intraabdominal tuberculosis (TB) presents with a wide variety of clinical and radiologic features. Besides the reported computed tomographic (CT) finding of high-density ascites in tuberculous peritonitis, this report describes additional CT features highly suggestive of abdominal tuberculosis in eight cases: (1) irregular soft-tissue densities in the omental area; (2) low-density masses surrounded by thick solid rims; (3) a disorganized appearance of soft-tissue densities, fluid, and bowel loops forming a poorly defined mass; (4) low-density lymph nodes with a multilocular appearance after intravenous contrast administration; and (5) possibly high-density ascites. The differential diagnosis of these features include lymphoma, various forms of peritonitis, peritoneal carcinomatosis, and peritoneal mesothelioma. It is important that the CT features of intraabdominal tuberculosis be recognized in order that laparotomy be avoided and less invasive procedures (e.g., laparoscopy, biopsy, or a trial of antituberculous therapy) be instituted.

Authors:
 [1];
  1. (Univ. of the Witwatersrand, Johannesburg, South Africa)
Publication Date:
OSTI Identifier:
6183985
Resource Type:
Journal Article
Resource Relation:
Journal Name: AJR, Am. J. Roentgenol.; (United States); Journal Volume: 139:5
Country of Publication:
United States
Language:
English
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; 59 BASIC BIOLOGICAL SCIENCES; ABDOMEN; COMPUTERIZED TOMOGRAPHY; TUBERCULOSIS; DIAGNOSIS; LYMPH NODES; PATHOLOGICAL CHANGES; BACTERIAL DISEASES; BODY; BODY AREAS; DIAGNOSTIC TECHNIQUES; DISEASES; INFECTIOUS DISEASES; LYMPHATIC SYSTEM; TOMOGRAPHY; 550602* - Medicine- External Radiation in Diagnostics- (1980-); 550901 - Pathology- Tracer Techniques

Citation Formats

Epstein, B.M., and Mann, J.H.. CT of abdominal tuberculosis. United States: N. p., 1982. Web. doi:10.2214/ajr.139.5.861.
Epstein, B.M., & Mann, J.H.. CT of abdominal tuberculosis. United States. doi:10.2214/ajr.139.5.861.
Epstein, B.M., and Mann, J.H.. Mon . "CT of abdominal tuberculosis". United States. doi:10.2214/ajr.139.5.861.
@article{osti_6183985,
title = {CT of abdominal tuberculosis},
author = {Epstein, B.M. and Mann, J.H.},
abstractNote = {Intraabdominal tuberculosis (TB) presents with a wide variety of clinical and radiologic features. Besides the reported computed tomographic (CT) finding of high-density ascites in tuberculous peritonitis, this report describes additional CT features highly suggestive of abdominal tuberculosis in eight cases: (1) irregular soft-tissue densities in the omental area; (2) low-density masses surrounded by thick solid rims; (3) a disorganized appearance of soft-tissue densities, fluid, and bowel loops forming a poorly defined mass; (4) low-density lymph nodes with a multilocular appearance after intravenous contrast administration; and (5) possibly high-density ascites. The differential diagnosis of these features include lymphoma, various forms of peritonitis, peritoneal carcinomatosis, and peritoneal mesothelioma. It is important that the CT features of intraabdominal tuberculosis be recognized in order that laparotomy be avoided and less invasive procedures (e.g., laparoscopy, biopsy, or a trial of antituberculous therapy) be instituted.},
doi = {10.2214/ajr.139.5.861},
journal = {AJR, Am. J. Roentgenol.; (United States)},
number = ,
volume = 139:5,
place = {United States},
year = {Mon Nov 01 00:00:00 EST 1982},
month = {Mon Nov 01 00:00:00 EST 1982}
}