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Multidetector CT findings of histopathologically proven peritoneal tuberculous cold abscesses

  • ABDOMINAL RADIOLOGY
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Abstract

Purpose

To evaluate the characteristic multidetector CT findings of peritoneal tuberculous (TB) cold abscesses.

Patients and methods

The morphological characteristics of 48 peritoneal TB cold abscesses in 29 patients (male:female = 13:16; age range 16–75 years) were retrospectively evaluated. TB infection was histologically proven by acid fast bacilli (AFB) smear or culture, TB-polymerase chain reaction (PCR), or histopathological specimen diagnosis.

Results

Seventeen abscesses (35.4%) were present in the right perihepatic space, 10 (20.8%) in the left subphrenic space, 6 (12.5%) in the right subphrenic space, 4 (8.3%) in the pelvic cavity, 3 (6.3%) in the left perihepatic space, 3 (6.3%) in the right lower quadrant, and so on. The abscess contents ranged from 10.4 to 61.4 Hounsfield units. Internal septa (64.6%), central necrotic lymphadenopathy (55.2%), and TB coinfections in other organs (65.5%) were observed. TB infection was histopathologically confirmed from the surgical specimens in 17 patients and other 4 patients revealed the positive TB-PCR results from the peritoneal fluid. Ten patients (34.5%) had a recent history of TB peritonitis with ascites.

Conclusion

Peritoneal TB cold abscesses were commonly found in the right perihepatic and subphrenic spaces and revealed higher density of internal content, frequent internal septa, central necrotic lymphadenopathy, and high TB coinfections in other organs.

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Authors and Affiliations

  1. Department of Radiology and Research Institute of Radiological Science, Gangnam Severance Hospital, Yonsei University College of Medicine, 211, Eonju-ro, Gangnam-gu, Seoul, 06273, Korea

    Jae-Joon Chung, Jeong Min Choi, Eun-Suk Cho, Joo Hee Kim & Jeong-Sik Yu

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  1. Jae-Joon Chung
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  2. Jeong Min Choi
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  3. Eun-Suk Cho
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  4. Joo Hee Kim
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Correspondence to Jae-Joon Chung.

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Funding

This study was supported by a Faculty Research Grant from Yonsei University College of Medicine for 2014 (6-2014-0168).

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The authors declare that they have no conflict of interest.

Research involving human participants and/or animals

This article does not contain any studies with human participants performed by any of the authors. Each author has participated sufficiently in any submission to take public responsibility for its content. Institutional Review Board approval was obtained and written informed consent was waived by the Institutional Review Board.

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Chung, JJ., Choi, J.M., Cho, ES. et al. Multidetector CT findings of histopathologically proven peritoneal tuberculous cold abscesses. Radiol med 122, 248–256 (2017). https://doi.org/10.1007/s11547-017-0726-x

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  • DOI: https://doi.org/10.1007/s11547-017-0726-x

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