intra-abdominal 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)
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
insightsimaging.springeropen.com • CC-by-4.0
abdominelle
tuberkulöse Lymphadenitis
insightsimaging.springeropen.com • CC-by-4.0