Sonographic features of pelvic tuberculosis mimicking ovarian‐tubal‐peritoneal carcinoma

Ludovisi, M.; Bruno, Matteo; Capanna, Giulia; Florio, Christian Di; Calvisi, Giuseppe; Guido, Maurizio

doi:10.1002/uog.26179

Cited by 2 publications

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References 6 publications

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“…Important CT/MRI findings, including high-density ascites, peritoneal calcification, linear enhancement of the parietal peritoneum, and small peritoneal nodules, are essential for distinguishing tuberculous peritonitis from ovarian cancer with peritoneal implantation metastasis. Similarly, Ludovisi et al ( 22 ) reported a case in which pelvic TB was initially misdiagnosed as peritoneal carcinoma, which emphasizes the importance of considering the possibility of peritoneal TB, in addition to peritoneal carcinoma, when ultrasonography and CT scans reveal features, such as peritonitis, adnexal masses, omental thickening, and ascites. In the assessment of pelvic masses, ultrasound can achieve more than 90% accuracy in distinguishing between benign and malignant adnexal masses ( 23 ).…”

Section: Discussionmentioning

confidence: 97%

Crucial computed tomography and magnetic resonance imaging findings of fallopian tubal tuberculosis for diagnosis: a retrospective study of 26 cases

Liang,

Zou,

Lin

et al. 2024

Quant Imaging Med Surg

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Background Fallopian tubal tuberculosis (FTTB), which typically presents with non-specific clinical symptoms and mimics ovarian malignancies clinically and radiologically, often affects young reproductive females and can lead to infertility if not promptly managed. Early diagnosis by imaging modalities is crucial for initiating timely anti-tuberculosis (anti-TB) treatment. Currently, comprehensive radiological descriptions of this relatively rare disease are limited. We aimed to comprehensively investigate the computed tomography (CT) and magnetic resonance imaging (MRI) characteristics of FTTB in patients from the Kashi area, which has the highest incidence of TB in China, to extend radiologists’ understanding of this disease. Methods We conducted a retrospective cross-sectional study of 26 patients diagnosed with FTTB at the First People’s Hospital of Kashi Area. All the patients underwent abdominal and pelvic contrast-enhanced CT examinations and/or pelvic contrast-enhanced MRI from January 2017 to June 2022. The imaging findings were evaluated in consensus by two experienced radiologists specialized in abdominal and pelvic imaging. The evaluated sites included the fallopian tubes, ovaries, peritoneum, mesentery, retroperitoneal nodes, and parailiac nodes. The patient characteristics are reported using descriptive statistics. The patient imaging results are presented as percentages. The normally distributed continuous variables are reported as the mean ± standard deviation (SD), and otherwise as the median with the interquartile range (IQR). Results The median age of the patients was 27 years (IQR: 25–34 years). Bilateral involvement of the fallopian tubes was observed in all patients. The tubal wall appeared coarse with tiny intraductal nodules in 96% (25 of 26) of the patients. The mean CT value of the tubal contents was 34 Hounsfield units (HUs; SD: 3.3 HUs). Ascites was present in 92% (24 of 26) of the patients, with 20 patients showing encapsulated effusion. Among these patients, 20 exhibited the highest CT values of ascites (>20 HUs). Linear enhancement of the parietal peritoneum was observed in 88% (23 of 26) of the patients, of whom 22 had peritoneal nodules measuring a median diameter of 0.4 cm (IQR: 0.3–0.6 cm). Eight patients had retroperitoneal and parailiac nodal enlargement, of whom two showed nodal necrosis, and none displayed nodal calcification. Conclusions FTTB is consistently accompanied by tuberculous peritonitis. FTTB typically presents with tubal dilation, and coarseness and nodules in the lumen, as well as intraductal caseous material and calcification. Tuberculous peritonitis exhibits high-density ascites, peritoneal adhesion, linear enhancement of the parietal peritoneum, and tiny peritoneal nodules. The co-occurrence of these features strongly suggests a diagnosis of FTTB.

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Section: Discussionmentioning

confidence: 97%

Crucial computed tomography and magnetic resonance imaging findings of fallopian tubal tuberculosis for diagnosis: a retrospective study of 26 cases

Liang,

Zou,

Lin

et al. 2024

Quant Imaging Med Surg

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Tubal Cancer Clinical Management: Two Exceptional Scenarios and a Review of the Literature

Colombi,

D’Indinosante,

Lazzeri

et al. 2024

JCM

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This article provides a literature review on tubal carcinoma to offer an updated insight into its preventative strategies, diagnosis, treatment and oncological surveillance. In addition to the search string utilized, the authors’ focus extended to key scientific studies, consensus statements, guidelines and relevant case reports essential for the proper clinical management of the disease, providing a methodologically well-structured literature review combined with practical expertise in the oncological field. This article also includes two special clinical cases that emphasize the importance of understanding the physiopathology and the current state of the art in the anatomopathological advancements in tubal/ovarian/peritoneal carcinoma, often assimilated into a single clinical entity and to which many of the concepts extracted from the literature can apply.

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Sonographic features of pelvic tuberculosis mimicking ovarian‐tubal‐peritoneal carcinoma

Cited by 2 publications

References 6 publications

Crucial computed tomography and magnetic resonance imaging findings of fallopian tubal tuberculosis for diagnosis: a retrospective study of 26 cases

Crucial computed tomography and magnetic resonance imaging findings of fallopian tubal tuberculosis for diagnosis: a retrospective study of 26 cases

Tubal Cancer Clinical Management: Two Exceptional Scenarios and a Review of the Literature

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