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Imaging of gastrointestinal and abdominal tuberculosis

  • Gastrointestinal
  • Published:
European Radiology Supplements

Abstract

This article discusses the range of manifestations of tuberculosis (TB) of the abdomen, including involvement of the gastrointestinal tract, the peritoneum, mesentery, omentum, abdominal lymph nodes, solid abdominal organs, the genital system and the abdominal aorta. Abdominal TB is a diagnostic challenge, particularly when pulmonary TB is absent. It may mimic many other abdominal diseases, both clinically and radiologically. An early correct diagnosis, however, is important in order to ensure proper treatment and a favorable outcome. Modern imaging is a cornerstone in the early diagnosis of abdominal TB and may prevent unnecessary morbidity and mortality. Generally, CT appears to be the imaging modality of choice in the detection and assessment of abdominal tuberculosis, other than gastrointestinal TB. Barium studies remain superior for demonstrating mucosal intestinal lesions. Ultrasound may be used for follow-up to monitor therapy response. The diagnosis of abdominal TB should be considered if suggestive imaging findings are found in patients with a high index of suspicion.

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Authors and Affiliations

  1. Department of Radiology, Universitair Ziekenhuis Antwerpen, Wilrijkstraat 10, 2650, Edegem, Belgium

    F. M. Vanhoenacker, B. Op de Beeck, M. Maes & A. M. De Schepper

  2. Department of Radiology, Campus Duffel, AZ St-Maarten, Rooienberg 25, 2750, Duffel, Belgium

    F. M. Vanhoenacker

  3. Department of Radiology, Centrumziekenhuis Antwerpen Campus Stuivenberg, Lange Beeldekensstraat 267, 2060, Antwerpen, Belgium

    A. I. De Backer

  4. Tuberculosecentrum Beatrixoord, Dilgtweg 5, 9751, Haren, The Netherlands

    R. Van Altena

  5. Department of Radiology, University Hospital Gasthuisberg, Herestraat 49, 3000, Leuven, Belgium

    D. Van Beckevoort

  6. Department of Radiology, Virga Jesse Ziekenhuis, Stadsomvaart 11, 3500, Hasselt, Belgium

    P. Kersemans

Authors
  1. F. M. Vanhoenacker
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  2. A. I. De Backer
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  3. B. Op de Beeck
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  4. M. Maes
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  8. A. M. De Schepper
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Corresponding author

Correspondence to F. M. Vanhoenacker.

Additional information

ECR 2004 - Categorical Course “Infection in the adult today”

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Vanhoenacker, F.M., De Backer, A.I., Op de Beeck, B. et al. Imaging of gastrointestinal and abdominal tuberculosis. Eur Radiol Suppl 14, E103–E115 (2004). https://doi.org/10.1007/s00330-003-2047-9

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  • DOI: https://doi.org/10.1007/s00330-003-2047-9

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