Abdominal tuberculosis: a radiological review with emphasis on computed tomography and magnetic resonance imaging findings

Rocha, Eduardo Lima da; Pedrassa, Bruno Cheregati; Bormann, Renata Lilian; Kierszenbaum, Marcelo Longo; Torres, Lucas Rios; D'Ippólito, Giuseppe

doi:10.1590/0100-3984.2013.1801

Cited by 70 publications

(41 citation statements)

References 26 publications

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“…1 As described in literature, there are three types of TBP: the wet type, that presents as either free or loculated ascites, associated or not with diffuse and smooth peritoneal thickening; the dry type, characterized by peritoneal and mesenteric thickening with caseous nodules, lymph nodes enlargement and fibrinous adhesions; finally, the fibrous type, that shows remarkable omental thickening and enlargement of bowel loops clinically resembling a mass. 12,13 In our case, the presence of smooth and regular peritoneal thickening and lobulated ascites can be attributed to the wet type of TBP (Fig. 3).…”

Section: Discussionsupporting

confidence: 54%

Endometrial Tuberculosis Simulating an Ovarian Cancer: a case report

Giovanni¹,

Cunha²,

Duarte³

et al. 2016

Acta Med Port

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Female genital tuberculosis remains a major health problem in developing countries and is an important cause of infertility. As symptoms, laboratory data and physical findings are non-specific, its diagnosis can be difficult. We describe a case of a 39-year-old woman suffering from peri-umbilical pain and increased abdominal size for one year, anorexia, asthenia, weight loss, occasionally dysuria and dyspareunia, and four months amenorrhea. Laboratory data revealed cancer antigen 125 (CA-125) level of 132.3 U/mL, erythrocyte sedimentation rate of 42 mm/h, and gamma-globulins of 2.66 g/dL. Computer tomography scan showed loculated ascites. It was initially suspected a carcinomatous origin, but ascites evaluation was negative for malignant cells. Magnetic resonance imaging from another hospital showed endometrial heterogeneity. Therefore, an endometrial biopsy was performed demonstrating an inflammatory infiltrate with giant cells of type Langhans and bacteriological culture identified Mycobacterium tuberculosis. Keywords: Tuberculosis, Female Genital; Endometritis; Peritonitis, Tuberculous; Ovarian Neoplasms.Di Giovanni SE, et al. Endometrial tuberculosis, Acta Med Port 2016 Jun;29(6):412-415 CONFLITOS DE INTERESSE Os autores declaram que não possuem conflitos de interesses. FONTES DE FINANCIAMENTOOs autores declaram não ter recebido subsídios ou bolsas para a elaboração do artigo.

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Section: Discussionsupporting

confidence: 54%

Endometrial Tuberculosis Simulating an Ovarian Cancer: a case report

Giovanni¹,

Cunha²,

Duarte³

et al. 2016

Acta Med Port

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“…Imaging studies play an important role in the evaluation of diseases of the digestive system, as has been demonstrated in several recent studies conducted in Brazil (7-15) . In the present study, the majority of patients undergoing defecography were female and were between 18 and 82 years of age.…”

Section: Discussionmentioning

confidence: 98%

Defecography by digital radiography: experience in clinical practice

et al. 2016

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ObjectiveThe objective of this study was to profile patients who undergo defecography, by age and gender, as well as to describe the main imaging and diagnostic findings in this population.Materials and MethodsThis was a retrospective, descriptive study of 39 patients, conducted between January 2012 and February 2014. The patients were evaluated in terms of age, gender, and diagnosis. They were stratified by age, and continuous variables are expressed as mean ± standard deviation. All possible quantitative defecography variables were evaluated, including rectal evacuation, perineal descent, and measures of the anal canal.ResultsThe majority (95%) of the patients were female. Patient ages ranged from 18 to 82 years (mean age, 52 ± 13 years): 10 patients were under 40 years of age; 18 were between 40 and 60 years of age; and 11 were over 60 years of age. All 39 of the patients evaluated had abnormal radiological findings. The most prevalent diagnoses were rectocele (in 77%) and enterocele (in 38%). Less prevalent diagnoses were vaginal prolapse, uterine prolapse, and Meckel's diverticulum (in 2%, for all).ConclusionAlthough defecography is performed more often in women, both genders can benefit from the test. Defecography can be performed in order to detect complex disorders such as uterine and rectal prolapse, as well as to detect basic clinical conditions such as rectocele or enterocele.

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“…In our case report, all three methods were negative for mycobacteria in the ascitic fluid; this low sensitivity is most likely due to the low concentration of mycobacteria in the ascitic fluid in TBP 7. Regarding imaging methods, the presence of intra-abdominal fluid, lymphadenopathy and a thickened peritoneum, mesentery or omentum are among the most common features in abdominal ultrasound and CT 8. But once again, these radiological features are not specific for TBP and thus tissue samples are almost always needed.…”

Section: Discussionmentioning

confidence: 99%

Peritoneal tuberculosis as a cause of ascites in a patient with cirrhosis

Vaz¹,

Peixe

Ornelas

et al. 2017

BMJ Case Reports

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A 59-year-old Portuguese Caucasian man with a history of heavy alcohol intake and no significant medical history presented with ascites, weight loss and general malaise. The ascitic fluid analysis showed 921 cells/mm with mononuclear predominance (93.6%), elevated total proteins and a slightly elevated serum-ascites albumin gradient. The abdominal ultrasound confirmed the presence of chronic liver disease with ascites, and additionally on CT there was evidence of peritoneal thickening. On repeat paracentesis, the ascitic fluid analysis showed elevated adenosine deaminase but it was negative for the presence of mycobacteria by Ziehl-Neelsen stain, Löwenstein-Jensen culture and PCR amplification. Due to the persistent suspicion of tuberculosis, a laparoscopy was performed showing multiple small white tubercles scattered over the peritoneum. Peritoneal biopsies showed the presence of necrotising granulomas and cultures were positive for complex. After a 6-month course of tuberculostatics, the ascites resolved completely. The patient remained asymptomatic.

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Abdominal tuberculosis: a radiological review with emphasis on computed tomography and magnetic resonance imaging findings

Cited by 70 publications

References 26 publications

Endometrial Tuberculosis Simulating an Ovarian Cancer: a case report

Endometrial Tuberculosis Simulating an Ovarian Cancer: a case report

Defecography by digital radiography: experience in clinical practice

Peritoneal tuberculosis as a cause of ascites in a patient with cirrhosis

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