Vascular involvement secondary to tuberculosis of the abdomen

Backer, A. I. De; Mortelé, Koenraad J.; Keulenaer, Bart L. De; Verhaert, Liese Lieve Willemien; Vanstraelen, Stijn; Hee, R H Van

doi:10.1007/s00261-005-0335-3

Cited by 13 publications

(3 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…These complications may result from direct involvement by M. tuberculosis of the vascular wall or as a consequence of contiguous spread from a tuberculous mass. [5] M. tuberculosis can primarily involve the vessel wall in the area of active infection which may result in arteritis, thrombosis or the pseudoaneurysm formation. [16] Replacement of adventitia and media by the granulation tissue leads to progressive weakening of the arterial wall.…”

Section: Discussionmentioning

confidence: 99%

Internal mammary artery pseudoaneurysm: A rare fatal complication of tubercular empyema

Yadav¹,

Bhatia²,

Kumar³

et al. 2013

Lung India

View full text Add to dashboard Cite

Vascular complications in the chest due to tuberculosis (TB) involve the pulmonary as well as bronchial vasculature. Mycotic pseudoaneurysms of internal mammary artery (IMA) are a sparsely reported clinical entity in the literature occurring due to TB. We report a rare case of IMA pseudoaneurysm due to the tubercular empyema in a patient with massive hemoptysis who was treated by endovascular coil embolization; however, the patient died due to refractory shock.

show abstract

Section: Discussionmentioning

confidence: 99%

Internal mammary artery pseudoaneurysm: A rare fatal complication of tubercular empyema

Yadav¹,

Bhatia²,

Kumar³

et al. 2013

Lung India

View full text Add to dashboard Cite

show abstract

“…6 Tuberculosis is a known cause of portal hypertension with many reported cases in the literature. 2,[7][8][9][10][11][12][13][14][15][16] Tuberculosis can cause portal hypertension by direct involvement of the splenic hilum by fibrotic bands, which can lead to splenic venous occlusion, 13 indirect involvement of the splenic drainage by involving organs adjacent to the spleen such as a pancreatic mass mimicking carcinoma, 15 direct involvement of the abdominal vascular, 12 occurrence of acute hepatic failure, 2,13 and finally involvement of the liver along with its portal vein by micro and macro nodules/granulomas that can mimic cholangiocarcinoma. [8][9][10][11]14,16 The differential diagnosis of non-cirrhotic portal hypertension is broad.…”

Section: Discussionmentioning

confidence: 99%

Portal Hypertension Secondary to Isolated Liver Tuberculosis

Otoukesh¹,

Shahsafi²,

Tahbaz³

et al. 2012

The American Society of Tropical Medicine and Hygiene

View full text Add to dashboard Cite

Abstract. In this report, we present a case of isolated liver tuberculosis (TB) as a cause of non-cirrhotic portal hypertension leading to bleeding esophageal varices. Although TB has been known to cause portal hypertension in a variety of ways, this case was notable for the presence of periportal inflammation and granulomas, also seen in hepatic schistosomiasis. Herein, we discuss isolated liver TB and the differential diagnosis of non-cirrhotic portal hypertension. In endemic areas, TB should be considered in the differential diagnosis of non-cirrhotic portal hypertension.

show abstract

“…The infection of Mycobacterium tuberculosis (M. tuberculosis) can involve any intra-abdominal organ and peritoneum, resulting in protean clinical manifestations (3). Although portal vein involvement is rare at initial presentation of abdominal TB, vascular complications may occur due to the direct invasion of the vascular wall by M. tuberculosis or regional constriction of tuberculous masses (4). At present, standard anti-tuberculosis therapy (ATT) is effective for abdominal TB, however, vascular complications remain a therapeutic challenge because of the insensitive response to ATT (5).…”

Section: Introductionmentioning

confidence: 99%

Angioplasty With Stent Implantation for Portal Venous Stenosis Caused by Abdominal Tuberculosis: A Case Report and Literature Review

et al. 2021

View full text Add to dashboard Cite

Abdominal tuberculosis is one of common forms of extra-pulmonary tuberculosis. However, portal vein involvement leading to portal venous stenosis and portal hypertension is a rare complication in abdominal tuberculosis. Because of the non-specific presentations and insensitive response to anti-tuberculosis therapy of the lesions involving portal vein, it continues to be both a diagnostic and treatment challenge. We have reported a 22-year-old woman presented with massive ascites and pleural effusion, which was proved to be TB infection by pleural biopsy. After standard anti-tuberculosis therapy, her systemic symptoms completely resolved while ascites worsened with serum-ascites albumin gradient >11 g/L. Contrast-enhanced computed tomography and portal venography showed severe main portal vein stenosis from compression by multiple calcified hilar lymph nodes. Finally, the patient was diagnosed with portal venous stenosis due to lymphadenopathy after abdominal tuberculosis infection. Portal venous angioplasty by balloon dilation with stent implantation was performed and continued anti-tuberculosis therapy were administrated after discharge. The ascites resolved promptly with no recurrence occurred during the six-month follow-up. Refractory ascites due to portal venous stenosis is an uncommon vascular complication of abdominal tuberculosis. Portal venous angioplasty with stent placement could be a safe and effective treatment for irreversible vascular lesions after anti-tuberculosis therapy.

show abstract

Vascular involvement secondary to tuberculosis of the abdomen

Cited by 13 publications

References 16 publications

Internal mammary artery pseudoaneurysm: A rare fatal complication of tubercular empyema

Internal mammary artery pseudoaneurysm: A rare fatal complication of tubercular empyema

Portal Hypertension Secondary to Isolated Liver Tuberculosis

Angioplasty With Stent Implantation for Portal Venous Stenosis Caused by Abdominal Tuberculosis: A Case Report and Literature Review

Contact Info

Product

Resources

About