Ultrasonographic diagnosis in abdominal tuberculosis

Sheikh, Mehraj; Moosa, I.; Hussein, Fawzia M. Y.; Qurttom, Mohammed A F; Behbehani, A

doi:10.1046/j.1440-1673.1999.00630.x

Cited by 11 publications

(9 citation statements)

References 11 publications

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“…For the diagnosis of bowel wall thickening and lymphadenopathy, ultrasonography was a useful tool, especially in a proper clinical setting [20]. In the present study, the main manifestation detected through conventional ultrasound was bowel wall thickening, which was similar to CT.…”

Section: Discussionsupporting

confidence: 59%

The features of intestinal tuberculosis by contrast-enhanced ultrasound

Yang

Zhang

et al. 2015

Jpn J Radiol

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Section: Discussionsupporting

confidence: 59%

The features of intestinal tuberculosis by contrast-enhanced ultrasound

Yang

Zhang

et al. 2015

Jpn J Radiol

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“…Unlike US the complex nature of the ascites is difficult to demonstrate by CT, [12] however CT is useful in determining the density of the ascitic fluid which is reported to be high; presumably due to the complex nature of the fluid. The high density nature of the fluid is reported by some authors [13,14] as specific for TB where as other [15] suggest that it is not a reliable factor and can overlap with peritoneal carcinomatosis. The differential diagnosis of complex ascites includes wide spread lymphoma and carcinomatous as well as pyogenic peritonitis [14].…”

Section: Discussionmentioning

confidence: 99%

CT features in abdominal tuberculosis: 20 years experience.

et al. 2002

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BackgroundAbdominal 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.MethodsCT 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.ResultsPeritoneal 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%).ConclusionsCT reliably demonstrates the entire range of findings which need interpretation in the light of clinical and laboratory data.

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“…Abdominal TB presents with a wide variety of clinical and radiological features, 23 and is known as ‘the great mimicker’. 2,8,9,12,23,24 The diagnosis of abdominal TB is often delayed by a lack of radiological evidence for PTB. 16 The most important feature of abdominal TB in both adults and children is lymphadenopathy.…”

Section: Discussionmentioning

confidence: 99%

Abdominal lymphadenopathy in children with tuberculosis presenting with respiratory symptoms

et al. 2011

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Diagnosis of pulmonary tuberculosis (PTB) in children is challenging and radiographs are often normal or non-specific. Access to the chest using ultrasound is difficult, but access to the abdomen is simple and carries no radiation burden. Diagnosis of PTB using abdominal lymphadenopathy as a surrogate for mediastinal lymphadenopathy may present a simple and accurate additional diagnostic technique that is of value in developing countries. We determined the prevalence of abdominal lymphadenopathy in paediatric patients with confirmed TB presenting with respiratory symptoms. Chest radiographs and abdominal ultrasounds of 47 children with confirmed TB and respiratory symptoms were reviewed. The prevalence of abdominal TB was determined and comparisons made between thoracic and abdominal lymphadenopathy to determine the relative value of ultrasound. On ultrasound, the prevalence of abdominal lymphadenopathy was 19% and solid organ involvement was found in 23% of patients. Some 70% of children had thoracic lymphadenopathy on chest radiography, with 89% of patients having evidence of PTB. If chest radiography were to be considered the radiological reference standard, abdominal ultrasonography had a sensitivity of 18% (95% CI 7.0–35.5%) with a specificity of 79% (95% CI 49.2–95.1%) for thoracic lymphadenopathy. Ultrasound and chest radiography in combination detected a total of 36 patients with lymphadenopathy, with a 6% improvement in the rate of lymphadenopathy detection; however, this was not statistically significant. The prevalence of abdominal TB of 23% is noteworthy. We suggest that abdominal ultrasound has a definitive adjunctive role in investigating children with suspected TB.

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Ultrasonographic diagnosis in abdominal tuberculosis

Cited by 11 publications

References 11 publications

The features of intestinal tuberculosis by contrast-enhanced ultrasound

The features of intestinal tuberculosis by contrast-enhanced ultrasound

CT features in abdominal tuberculosis: 20 years experience.

Abdominal lymphadenopathy in children with tuberculosis presenting with respiratory symptoms

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