TUBERCULOSIS ABDOMEN: A REVIEW OF IMAGING FEATURES ON COMPUTED TOMOGRAPHY SCAN

Main Article Content

Rabia Hafeez
Inayatullah Memon
Rubina Hafeez

Abstract

Objective: To evaluate the various imaging patterns of involvement of tuberculosis on CT scan abdomen.


Methodology: In this study, Computed Tomography scans abdomen of 25 patients with abdominal tuberculosis were retrospectively reviewed to determine the spectrum and involvement of tuberculosis in the abdomen. The study was conducted at the Radiology department of, Ghulam Muhammad Mahar Medical college hospital, Sukkur, Sindh Pakistan between Jan-Jun 2021.


Results: Lymphadenopathy was the most common feature in the CT scan study and was present in 20 (80%) cases involving mesenteric lymph nodes. Peripheral enhancing lymph nodes with central necrosis were the most common pattern of involvement in 10 (40%) cases. Peritoneal involvement was the second most common finding in 17 (68%) cases with ascites (wet peritonitis) seen in 11 (44%) and only ascites in 3 (12%) cases. Dry peritonitis (without ascites) was seen in 3 (12%) cases. Other findings included gastrointestinal involvement in 12 (48%) cases with the illeocecal region being the commonest site of involvement in 8 (66%) cases. The liver and spleen were the solid organ involvement in 3 (12%) cases.


Conclusion: Our study demonstrates the various imaging manifestations of abdominal tuberculosis on CT scans. It can be considered as a diagnostic tool in the diagnosis of TB abdomen along with clinical and laboratory data.

Article Details

How to Cite
1.
Hafeez R, Inayatullah Memon, Rubina Hafeez. TUBERCULOSIS ABDOMEN: A REVIEW OF IMAGING FEATURES ON COMPUTED TOMOGRAPHY SCAN. J Postgrad Med Inst [Internet]. 2022 Jun. 9 [cited 2022 Jul. 6];36(1):28-31. Available from: https://jpmi.org.pk/index.php/jpmi/article/view/3020
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References

Chakaya J, Khan M, Ntoumi F, Aklillu E, Fatima R, Mwaba P, et al. Global Tuberculosis Report 2020 - Reflections on the Global TB burden, treatment and prevention efforts. Int J Infect Dis. 2021;113 Suppl 1: S7–12. DOI.org/10.1016/j.ijid.2021.02.107

Burrill J, Williams CJ, Bain G, Conder G, Hine AL, Misra RR. Tuberculosis: a radiologic review. Radiographics. 2007;27(5):1255–73. DOI.org/10.1148/rg.275065176

Rathi P, Gambhire P. Abdominal tuberculosis. J Assoc Physicians India. 2016;64(2):38–47. PMID 27730779

Suri S, Gupta S, Suri R. Computed tomography in abdominal tuberculosis. Br J Radiol. 1999;72(853):92–8. DOI.org/10.1259/bjr.72.853.10341698

Akhan O, Pringot J. Imaging of abdominal tuberculosis. Eur Radiol. 2002;12(2):312–23. DOI.org/10.1007/s003300100994

Ladumor H, Al-Mohannadi S, Ameerudeen FS, Ladumor S, Fadl S. TB or not TB: A comprehensive review of imaging manifestations of abdominal tuberculosis and its mimics. Clin Imaging. 2021;76:130–43. DOI.org/10.1016/j.clinimag.2021.02.012

Debi U, Ravisankar V, Prasad KK, Sinha SK, Sharma AK. Abdominal tuberculosis of the gastrointestinal tract: revisited. World J Gastroenterol. 2014;20(40):14831–40. DOI.org/10.3748/wjg.v20.i40.14831

Bhansali SK. Abdominal tuberculosis. Experiences with 300 cases. Am J Gastroenterol. 1977;67(4):324–37. PMID: 879148

Zhang G, Yang Z-G, Yao J, Deng W, Zhang S, Xu H-Y, et al. Differentiation between tuberculosis and leukemia in abdominal and pelvic lymph nodes: evaluation with contrast-enhanced multidetector computed tomography. Clinics (Sao Paulo). 2015;70(3):162–8. DOI.org/10.6061/clinics/2015(03)02

Pombo F, Díaz Candamio MJ, Rodriguez E, Pombo S. Pancreatic tuberculosis: CT findings. Abdom Imaging. 1998;23(4):394–7. DOI.org/10.1007/s002619900367

Yilmaz T, Sever A, Gür S, Killi RM, Elmas N. CT findings of abdominal tuberculosis in 12 patients. Comput Med Imaging Graph. 2002;26(5):321–5. DOI.org/10.1016/s0895-6111(02)00029-0

Hulnick DH, Megibow AJ, Naidich DP, Hilton S, Cho KC, Balthazar EJ. Abdominal tuberculosis: CT evaluation. Radiology. 1985;157(1):199–204. DOI.org/10.1148/radiology.157.1.4034967

Pereira JM, Madureira AJ, Vieira A, Ramos I. Abdominal tuberculosis: imaging features. Eur J Radiol. 2005;55(2):173–80. DOI.org/10.1016/j.ejrad.2005.04.015

Hanson RD, Hunter TB. Tuberculous peritonitis: CT appearance. AJR Am J Roentgenol. 1985;144(5):931–2. DOI.org/10.2214/ajr.144.5.931

Ha HK, Jung JI, Lee MS, Choi BG, Lee MG, Kim YH, et al. CT differentiation of tuberculous peritonitis and peritoneal carcinomatosis. AJR Am J Roentgenol. 1996;167(3):743–8. DOI.org/10.2214/ajr.167.3.8751693

Srivastava U, Almusa O, Tung K-W, Heller MT. Tuberculous peritonitis. Radiol Case Rep. 2014;9(3):971. DOI.org/10.2484/rcr. v9i3.971

Leder RA, Low VH. Tuberculosis of the abdomen. Radiol Clin North Am. 1995;33(4):691–705. PMID: 7610239

Jadvar H, Mindelzun RE, Olcott EW, Levitt DB. Still the great mimicker: abdominal tuberculosis. AJR Am J Roentgenol. 1997;168(6):1455–60. DOI.org/10.2214/ajr.168.6.9168707

Yang Z-G, Guo Y-K, Li Y, Min P-Q, Yu J-Q, Ma E-S. Differentiation between tuberculosis and primary tumors in the adrenal gland: evaluation with contrast-enhanced CT. Eur Radiol . 2006;16(9):2031–6. DOI.org/10.1007/s00330-005-0096-y

Sinan T, Sheikh M, Ramadan S, Sahwney S, Behbehani A. CT features in abdominal tuberculosis: 20 years’ experience. BMC Med Imaging. 2002;2(1):3. DOI.org/10.1186/1471-2342-2-3

Lundstedt C, Nyman R, Brismar J, Hugosson C, Kagevi I. Imaging of tuberculosis: II. Abdominal manifestations in 112 patients. Acta Radiologica. 1996;37(3P2):489–95. DOI.org/10.1177/02841851960373P213

Balthazar EJ, Gordon R, Hulnick D. Ileocecal tuberculosis: CT and radiologic evaluation. AJR Am J Roentgenol. 1990;154(3):499–503. DOI.org/10.2214/ajr.154.3.2106212

Paustian FF, Marshall JB. Intestinal tuberculosis. Bockus Gastroenterology Vol 3, Berk JE ed. WB Saunders Co, Philadelphia. 1985; 2018:2036.

Harisinghani MG, McLoud TC, Shepard JA, Ko JP, Shroff MM, Mueller PR. Tuberculosis from head to toe: (CME available in print version and on RSNA Link). Radiographics. 2000;20(2):449–70; quiz 528–9, 532. DOI.org/10.1148/radiographics.20.2. g00mc12449

Gupta P, Kumar S, Sharma V, Mandavdhare H, Dhaka N, Sinha SK, et al. Common and uncommon imaging features of abdominal tuberculosis. J Med Imaging Radiat Oncol. 2019;63(3):329–39. DOI.org/10.1111/1754-9485.12874

Denath FM. Abdominal tuberculosis in children: CT findings. Gastrointest Radiol. 1990 Autumn;15(4):303–6. DOI.org/10.1007/bf01888804

Jain R, Sawhney S, Gupta RG, Acharya SK. Sonographic appearances and percutaneous management of primary tuberculous liver abscess. J Clin Ultrasound. 1999;27(3):159–63. DOI.org/10.1002/(sici)1097-0096(199903/04)27:3<159::aid-jcu11>3.0.co;2-k

Javed F, Yawar B, Babar S, Sana F, Chaudhary MY. A review of patterns of CT scan

appearance of abdominal tuberculosis. JPMI: Journal of Postgraduate Medical Institute. 2014

Oct 1;28(4).