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Esophageal tuberculosis: Findings on barium swallow and computed tomography

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Gastrointestinal Radiology Aims and scope

Abstract

Esophageal tuberculosis secondary to tuberculous mediastinal lymphadenopathy is a very unusual presentation of adult tuberculosis. We report a patient presenting with fever of unknown origin and dysphagia. Barium swallow demonstrated esophageal displacement, mucosal ulceration and perforation with a fistulous tract into the mediastinum. CT of the mediastinum gave the most complete delineation of the tuberculous mediastinal lymphadenopathy which surrounded and displaced the esophagus. The fistulous tract extending from the esophagus into the nodal mass was also seen on CT.

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Authors and Affiliations

  1. Department of Radiology, Durham Veterans Administration Hospital and Duke University Medical Center, Durham, North Carolina, USA

    Margaret E. Williford & William M. Thompson

  2. Department of Medicine, Durham Veterans Administration Hospital and Duke University Medical Center, Durham, North Carolina, USA

    John D. Hamilton

  3. Department of Surgery, Durham Veterans Administration Hospital and Duke University Medical Center, Durham, North Carolina, USA

    Raymond W. Postlethwait

Authors
  1. Margaret E. Williford
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  2. William M. Thompson
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  3. John D. Hamilton
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  4. Raymond W. Postlethwait
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Williford, M.E., Thompson, W.M., Hamilton, J.D. et al. Esophageal tuberculosis: Findings on barium swallow and computed tomography. Gastrointest Radiol 8, 119–122 (1983). https://doi.org/10.1007/BF01948102

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  • DOI: https://doi.org/10.1007/BF01948102

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