gastrointestinal tuberculosis

CT of
abdominal tuberculosis
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Toddler with
abdominal pain who also has a long standing cough. AXR AP shows multiple scattered punctate calcifications just to the right of the L3 and L4 vertebral bodies. A dilated loop of distal small bowel is seen in the left lower quadrant.The diagnosis was gastrointestinal tuberculosis involving multiple abdominal lymph nodes in the right lower quadrant.
pediatricimaging.org • CC-by-nc-sa 4.0
Abdominal
tuberculosis • Disseminated tuberculous infection with miliary disease, lymphadenitis, and colitis - Ganzer Fall bei Radiopaedia
Hartung M, Disseminated tuberculous infection with miliary disease, lymphadenitis, and colitis. Case study, Radiopaedia.org (Accessed on 22 Nov 2023) https://doi.org/10.53347/rID-78465 • CC by-nc-sa 3.0 (modified)
Splenic
granulomatous disease • Splenic and hepatic tuberculous granulomatosis - Ganzer Fall bei Radiopaedia
Hartung, M. Splenic and hepatic tuberculous granulomatosis. Case study, Radiopaedia.org. (accessed on 22 Oct 2022) https://doi.org/10.53347/rID-70558 • CC by-nc-sa 3.0 (modified)
CT scan of
peritoneal tuberculosis of a 67-year-old male who presented with fatigue, abdominal pain. There is moderate amount of abdominal and pelvic ascites with diffuse thickening of peritoneal surfaces. Diffuse thickening is also seen throughout the omentum.
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Extrapulmonary
tuberculosıs: an old but resurgent problem. A 31-year-old female. Contrast-enhanced CT image demonstrates diffuse-symmetric wall thickening and enhancement of the cecum with surrounding inflammatory changes (arrows)
insightsimaging.springeropen.com • CC-by-4.0
Extrapulmonary
tuberculosıs: an old but resurgent problem. Transverse CT image without intravenous contrast of a 24-year-old female. Diffuse-symmetric wall thickening of the ileal segment is noted (arrows). Ileal TB
insightsimaging.springeropen.com • CC-by-4.0
Extrapulmonary
tuberculosıs: an old but resurgent problem. A 40-year-old female. Contrast-enhancement CT scan (a, b) and Doppler ultrasonography (c) demonstrated a large heterogeneous cystic-necrotic mass in the head of the pancreas
insightsimaging.springeropen.com • CC-by-4.0
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
insightsimaging.springeropen.com • CC-by-4.0
Extrapulmonary
tuberculosıs: an old but resurgent problem. A 24-year-old male patient. Axial (a) and coronal postcontrast CT (b) images show mesenteric striation (arrowheads) and ascites (star)
insightsimaging.springeropen.com • CC-by-4.0
Extrapulmonary
tuberculosıs: an old but resurgent problem. Transverse CT image with intravenous contrast of a 29-year-old male. Massive ascites is indicated in the abdomen cavity (stars). The peritoneum"s thin linear contrast enhancement is also noted. Tuberculous peritonitis
insightsimaging.springeropen.com • CC-by-4.0
Extrapulmonary
tuberculosıs: an old but resurgent problem. A 19-year-old male. Post-contrast CT image shows multiple mesenteric lymphadenopathies with peripheral enhancement
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CT of wet
type of tuberculous peritonitis.
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CT of
fibrotic type of tuberculous peritonitis.
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Toddler with
new abdominal pain who also has had a long standing cough. AP image from late in a small bowel follow through exam shows contrast exiting the small bowel and beginning to fill the cecum and ascending colon. The terminal ileum in the right lower quadrant is narrowed with only a thin string of contrast within it. The cecal pole is also somewhat narrowed in appearance.The diagnosis was gastrointestinal tuberculosis involving the terminal ileum.
pediatricimaging.org • CC-by-nc-sa 4.0
Figure 1. CT
scans of the pancreas. CT scan of pancrease demonstrating a mass in the pancreatic tail () and metastasizes in the spleen
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Radiopaedia • CC-by-nc-sa 3.0 • de

Abdominal tuberculous can manifest in almost every abdominopelvic organ:

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:
und weiter:
Assoziationen und Differentialdiagnosen zu intraabdominelle Tuberkulose:
Tuberkulose
des Pankreas
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abdominelle
tuberkulöse Lymphadenitis
insightsimaging.springeropen.com • CC-by-4.0