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Patterns of calcifications and cholangiographic findings in hepatobiliary tuberculosis

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Abstract

The radiologic findings on conventional examinations (plain films and cholangiograms) in a large group of patients with proven hepatobiliary tuberculosis are reviewed. The plain film findings of large “ chalky” and confluent hepatic calcifications or nodal-type calcifications along the course of the common bile duct are suggestive of hepatobiliary tuberculosis. Small, discrete, scattered calcifications may be mimicked by histoplasmosis but can be differentiated from hepatobiliary tuberculosis. Obstructing defects seen on cholangiography are indicative of tuberculosis when adjacent calcifications are present. The patterns of liver calcifications could provide a clue to the diagnosis of hepatobiliary tuberculosis and its differentiation from liver calcifications of various other etiologies.

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Authors and Affiliations

  1. Department of Radiology, Methodist Hospital of Indiana, 1701 North Senate Boulevard, 46202, Indianapolis, IN, USA

    Dean D. T. Maglinte M.D. & Anastacio C. Ng

  2. Department of Medicine, Santo Tomas University Hospital, Manila, Philippines

    Sol Z. Alvarez

  3. Department of Radiology, Santo Tomas University Hospital, Manila, Philippines

    Jose L. Lapeña

Authors
  1. Dean D. T. Maglinte M.D.
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  2. Sol Z. Alvarez
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  3. Anastacio C. Ng
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  4. Jose L. Lapeña
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Maglinte, D.D.T., Alvarez, S.Z., Ng, A.C. et al. Patterns of calcifications and cholangiographic findings in hepatobiliary tuberculosis. Gastrointest Radiol 13, 331–335 (1988). https://doi.org/10.1007/BF01889092

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  • DOI: https://doi.org/10.1007/BF01889092

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