CT features in abdominal tuberculosis: 20 years experience

被引：66

作者：

Sinan T. ^{[1
]}

Sheikh M. ^{[1
]}

Ramadan S. ^{[2
]}

Sahwney S. ^{[2
]}

Behbehani A. ^{[3
]}

机构：

[1] Department of Radiology, Kuwait University, Jabriya

[2] Department of Radiology, Adan Hospital, Adan

[3] Department of Surgery, Kuwait University, Jabriya

来源：

BMC Medical Imaging | / 2卷 / 1期

关键词：

Amebiasis; Compute Tomography Feature; Abdominal Tuberculosis; Ascetic Fluid; Large Regional Lymphnodes;

D O I：

10.1186/1471-2342-2-3

中图分类号：

学科分类号：

摘要：

Background: Abdominal tuberculosis (TB) is endemic in the developing world and is reemerging in the West. Since computed tomography (CT) has the ability to demonstrate changes in the peritonium, mesentry, lymphnodes, bowel and solid organs and is being increasingly used for primary evaluation of abdominal conditions, it is important to be familiar with the CT features of the disease. Methods: CT findings were retrospectively analysed in 49 patients with proved abdominal TB. Patients with genitourinary TB and with AIDS/HIV were not included in the study. Results: Peritoneal involvement was the most common feature (77.5%) with ascites (wet peritonitis) seen in more than half the cases (55.2%). The rest showed peritoneal, mesenteric or omental thickening or mass formation but no ascites (dry peritonitis). Other findings included lymphadenopathy (46.9% mainly of diffuse nature, bowel wall thickening (38%) and solid organ involvement (20.4%). Conclusions: CT reliably demonstrates the entire range of findings which need interpretation in the light of clinical and laboratory data. © 2002 Sinan et al; licensee BioMed Central Ltd.

引用

共 30 条

[1]

Dye C., Scheele S., Dolin P., Pathania V., Raviglione M.C., Consensus statement. Global burden of tuberculosis: Estimated incidence, prevalence, and mortality by country. WHO Global Surveillance and Monitoring Project, JAMA, 282, pp. 677-686, (1999)

[2]

Suri S., Gupta S., Suri R., Computed tomography in abdominal tuberculosis, B. J. Radiol., 72, pp. 92-98, (1999)

[3]

Jadvar H., Mindelzun R.E., Olcott E.W., Levitt D.B., Still the great mimicker: Abdominal tuberculosis, AJR Am. J. Roentgenol., 168, pp. 1455-1460, (1997)

[4]

Akhan O., Pringot J., Imaging of abdominal tuberculosis, Eur. Radiol., 12, pp. 312-323, (2002)

[5]

Batra A., Gulati M.S., Sarma D., Paul S.B., Sonographic appearances in abdominal tuberculosis, J. of Clin. Ultrasound, 28, pp. 233-245, (2000)

[6]

Hulnick D.H., Megibow A.J., Naidich D.P., Hilton S., Cho K.C., Balthazar E.J., Abdominal tuberculosis: CT evaluation, Radiology, 157, pp. 199-204, (1985)

[7]

Hanson R.D., Hunter T.B., Tuberculous peritonitis: CT appearance, AJR Am. J. Roentgenol., 144, pp. 931-932, (1985)

[8]

Dahlene Jr. D.H., Stanley R.J., Koehler R.E., Et al., Abdominal tuberculosis: CT findings, J. Comput. Assist. Tomogr., 8, pp. 443-445, (1984)

[9]

Lee D.H., Lim J.H., Ko Y.T., Et al., Sonographic findings of tuberculous peritonitis of wet ascitic type, Clin. Radiol., 44, pp. 306-310, (1991)

[10]

Al-Hilaly M.A., Abu Zidan F.M., Zayed F.F., Et al., Tuberculous appendicitis with perforation, Br. J. Clin. Pract., 44, pp. 632-633, (1990)

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