Abdominal tuberculosis: CT evaluation. NLM AIDSLINE Important note: Information in this article was accurate in 1985. The state of the art may have changed since the publication date.

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Abdominal tuberculosis: CT evaluation.

Radiology. 1985 Oct;157(1):199-204. Unique Identifier : AIDSLINE MED/85299374
Hulnick DH; Megibow AJ; Naidich DP; Hilton S; Cho KC; Balthazar EJ

Abstract: The computed tomography (CT) scans of 27 patients with abdominal tuberculosis were reviewed retrospectively to determine the range of abdominal involvement. Most patients had been at increased risk because of intravenous drug abuse, alcoholism, acquired immunodeficiency syndrome (AIDS), cirrhosis, or steroid therapy. The etiologic agent was Mycobacterium tuberculosis in 23 patients and M. avium-intracellulare in four patients with AIDS. In five patients, tuberculosis was limited to the abdomen. CT findings included adenopathy, splenomegaly, hepatomegaly, ascites, bowel involvement, pleural effusion, intrasplenic masses, and intrahepatic masses. Characteristic features were a tendency for adenopathy to prominently involve peripancreatic and mesenteric compartments, low-density centers within enlarged nodes, complex nature of the ascites, and adenopathy adjacent to sites of gastrointestinal tract involvement. Recognition of these manifestations and maintenance of an index of suspicion, especially in patients at risk, should help optimize the correct diagnosis and management of intraabdominal tuberculosis.
Keywords: Acquired Immunodeficiency Syndrome/COMPLICATIONS Adult Aged Alcoholism/COMPLICATIONS Female Human Liver Cirrhosis/COMPLICATIONS Male Middle Age Retrospective Studies Risk Substance Abuse/COMPLICATIONS *Tomography, X-Ray Computed Tuberculosis, Gastrointestinal/COMPLICATIONS/*RADIOGRAPHY Tuberculosis, Hepatic/COMPLICATIONS/*RADIOGRAPHY Tuberculosis, Lymph Node/COMPLICATIONS/*RADIOGRAPHY Tuberculosis, Peritoneal/COMPLICATIONS/*RADIOGRAPHY JOURNAL ARTICLE

KWDacquiredimmunodeficiencysyndrome/complicationsadultagedalcoholism/complicationsfemalehumanlivercirrhosis/complicationsmalemiddleageretrospectivestudiesrisksubstanceabuse/complicationsKWDtomography,x-raycomputedtuberculosis,gastrointestinal/complications/KWDradiographytuberculosis,hepatic/complications/KWDradiographytuberculosis,lymphnode/complications/KWDradiographytuberculosis,peritoneal/complications/KWDradiographyjournalarticle
851230
M85C0174

Copyright © 1985 - National Library of Medicine. Reproduced under license with the National Library of Medicine, Bethesda, MD.

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