There is an increasing incidence of both intra- and extra-thoracic manifestations of tuberculosis, in part due to the AIDS epidemic. Isolated tubercular involvement of the solid abdominal viscera is relatively unusual. Cross-sectional imaging with ultrasound, multidetector computed tomography (CT), and magnetic resonance imaging (MRI) plays an important role in the diagnosis and post treatment follow-up of tuberculosis. Specific imaging features of tuberculosis are frequently related to caseous necrosis, which is the hallmark of this disease. However, depending on the type of solid organ involvement, tubercular lesions can mimic a variety of neoplastic and nonneoplastic conditions. Often, cross-sectional imaging alone is insufficient in reaching a conclusive diagnosis, and image-guided tissue sampling is needed. In this article, we review the pathology and cross-sectional imaging features of tubercular involvement of solid abdominopelvic organs with a special emphasis on appropriate differential diagnoses.
Keywords: Abdomen, Computed Tomography, Magnetic Resonance Imaging, Tuberculosis
Cited in 7 Documents
Richard P. T. Evans, Moustafa Mabrouk Mourad, Lee Dvorkin and Simon R. Bramhall (2016) Hepatic and Intra-abdominal Tuberculosis: 2016 Update. Curr Infect Dis Rep18(12):. doi: 10.1007/s11908-016-0546-5
Satarupa Roy, Shuchi Bhatt, Rajesh Rawal, Anupama Tandon and Neha Meena (2017) Splenic Vein Thrombosis as a Rare Complication of Disseminated Tuberculosis – Imaging Diagnosis and Case Report. Pol J Radiol82:106. doi: 10.12659/PJR.900198
Aoife Kilcoyne (2016) Inflammatory bowel disease imaging: Current practice and future directions. WJG22(3):917. doi: 10.3748/wjg.v22.i3.917
Rabii Noomene, Asma Ouakaa, Raja Jouini, Anis Ben Maamer and Abderraouf Cherif (2017) What remains to surgeons in the management of abdominal tuberculosis? A 10 years experience in an endemic area. Indian Journal of Tuberculosis64(3):167. doi: 10.1016/j.ijtb.2017.01.003
Uma Debi (2014) Abdominal tuberculosis of the gastrointestinal tract: Revisited. WJG20(40):14831. doi: 10.3748/wjg.v20.i40.14831
Lilishia Gounder, Pravikrishnen Moodley, Paul K. Drain, Andrew J. Hickey and Mahomed-Yunus S. Moosa (2017) Hepatic tuberculosis in human immunodeficiency virus co-infected adults: a case series of South African adults. BMC Infect Dis17(1):. doi: 10.1186/s12879-017-2222-2
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