abdominelle tuberkulöse Lymphadenitis
Extrapulmonary
tuberculosıs: an old but resurgent problem. A 19-year-old male. Post-contrast CT image shows multiple mesenteric lymphadenopathies with peripheral enhancement
Extrapulmonary
tuberculosıs: an old but resurgent problem. A 33-year-old female. Axial post-contrast CT images (a, b) demonstrate omental nodularity, mesenteric fat stranding (arrowheads), and ascites (star). Intraabdominal lymphadenopathies are also evident (arrows) in image b
abdominelle tuberkulöse Lymphadenitis
intraabdominelle Tuberkulose Radiopaedia • CC-by-nc-sa 3.0 • de
Abdominal tuberculous can manifest in almost every abdominopelvic organ:
- gastrointestinal tuberculosis
- esophageal tuberculosis
- gastric tuberculosis
- duodenal tuberculosis
- jejunal and ileal tuberculosis
- ileocecal tuberculosis
- colorectal tuberculosis
- tuberculous peritonitis
- tubercular lymphadenopathy
- visceral tuberculosis
- hepatic tuberculosis
- gallbladder tuberculosis
- pancreatic tuberculosis
- splenic tuberculosis
- genitourinary tuberculosis
- renal tuberculosis
- bladder and ureteric tuberculosis
- prostatic tuberculosis
- scrotal tuberculosis (testes, epididymis, seminal vesicles, vas deferens)
- tuberculous pelvic inflammatory disease (female)
Pathology
There are three main pathways for tuberculous infection of the abdomen :
- ingestion of infected milk or sputum initially affects gastrointestinal tract mucosa, followed by the remainder of the bowel wall, regional lymph nodes and peritoneum
- haematogenous spread to the peritoneum, lymph nodes and solid viscera
- direct spread to the peritoneum, e.g. from skeletal tuberculosis via a psoas abscess
Siehe auch:
- verkalkte mesenteriale Lymphknoten
- Tuberkulose des Peritoneums
- mesenteric panniculitis associated with abdominal tuberculous lymphadenitis
und weiter:
Assoziationen und Differentialdiagnosen zu abdominelle tuberkulöse Lymphadenitis: