Abstract
Gastrointestinal tuberculosis may manifest as an isolated disease or may occur as a part of disseminated disease. The most commonly afflicted region is the ileocecal junction, followed by the ascending colon, jejunum, appendix, duodenum, stomach, sigmoid colon, and rectum. As gastrointestinal tuberculosis has a wide spectrum of imaging features, knowledge of these imaging appearances on various imaging modalities enables the early diagnosis of tuberculosis in the appropriate clinical settings. Involvement of the ileocecal region with concomitant bowel lesions and necrotic lymphadenopathy is diagnostic of tuberculosis. Isolated involvement of the colon, stomach, duodenum, esophagus, and anorectum is rare; hence, the diagnosis requires a high degree of clinical suspicion. The role of the radiologist is in timely recognition of the imaging features of tuberculosis, so that further strategies can be planned to confirm the diagnosis and/or start appropriate anti-tuberculosis treatment.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Abbreviations
- CT:
-
Computed tomography
- GI:
-
Gastrointestinal
- MRI:
-
Magnetic resonance imaging
- TB:
-
Tuberculosis
- US:
-
Ultrasound
References
Aiyappan SK, Kalra N, Sandhu MS et al (2012) Comparison of neutral and positive enteral contrast media for MDCT enteroclysis. Eur J Radiol 81:406–410
Amarapurkar DN, Patel ND, Amarapurkar AD (2003) Primary gastric tuberculosis report of 5 cases. BMC Gastroenterol 3:6
Balci S, Onur MR, Karaosmanoglu AD (2019) MRI evaluation of anal and perianal diseases. Diagn Interv Radiol 25:21–27
Bhatt S, Roy S, Bhardwaj N et al (2017) Kaleidoscopic view of bowel tuberculosis on multi-detector computed tomography (CT) enterography—a novel technique unfolding an archaic disease. Pol J Radiol 82:783–791
Chavhan GE (2003) Duodenal tuberculosis: radiological features on barium studies and their clinical correlation in 28 cases. J Postgrad Med 49:214–217
Chazan BI, Aitchison JD (1960) Gastric tuberculosis. Br Med J 2:1288–1290
Dahale AS, Kumar A, Srivastava S et al (2018) Esophageal tuberculosis: uncommon of common. JGH Open 2:34–38
Dave-Verma H, Moore S, Singh A et al (2008) Computed tomographic enterography and enteroclysis: pearls and pitfalls. Curr Probl Diagn Radiol 37:279–287
De A, Lamoria S, Dhawan S et al (2016) Duodenal tuberculosis: dig deep to diagnose. Trop Doct 46:172–174
Debi U, Ravisankar V, Prasad KK (2014) Abdominal tuberculosis of the gastrointestinal tract: revisited. World J Gastroenterol 20:14831–14840
Goyal P, Shah J, Gupta S et al (2019) Imaging in discriminating intestinal tuberculosis and Crohn’s disease: past, present and the future. Expert Rev Gastroenterol Hepatol 13:995–1007
Guirguis MM, Ghaly AF, Abadir L (1983) Gastric tuberculosis. Bristol Med Chir J 98:73–76
Gulati MS, Sarma D, Paul SB (1999) CT appearances in abdominal tuberculosis. A pictorial essay. Clin Imaging 23:51–59
Gupta PJ (2005) Ano-perianal tuberculosis—solving a clinical dilemma. Afr Health Sci 5:345–347
Kalra N, Agrawal P, Mittal V et al (2014) Spectrum of imaging findings on MDCT enterography in patients with small bowel tuberculosis. Clin Radiol 69:315–322
Kalra N, Gulati A, Gupta P (2021) Comparison of virtual computed tomography enteroscopy using carbon dioxide with small bowel enteroclysis and capsule endoscopy in patients with small bowel tuberculosis. Eur Radiol 31:3297–3305
Kedia S, Sharma R, Nagi B et al (2015) Computerized tomography-based predictive model for differentiation of Crohn’s disease from intestinal tuberculosis. Indian J Gastroenterol 34:135–143
Khanna V, Kumar A, Alexander N (2017) A case report on esophageal tuberculosis—a rare entity. Int J Surg Case Rep 35:41–43
Kim TH, Kim JK, Lee JH (2009) Education and imaging. Gastrointestinal: CT colonography in ileocecal tuberculosis. J Gastroenterol Hepatol 24:699
Kim TU, Kim SJ, Ryu H et al (2018) Gastric tuberculosis presenting as a subepithelial mass: a rare cause of gastrointestinal bleeding. Korean J Gastroenterol 72:304–307
Krishna S, Kalra N, Singh P et al (2016) Small-bowel tuberculosis: a comparative study of MR enterography and small-bowel follow-through. AJR Am J Roentgenol 207:571–577
Lee WK, Van Tonder F, Tartaglia CJ et al (2012) CT appearances of abdominal tuberculosis. Clin Radiol 67:596–604
Lundstedt C, Nyman R, Brismar J (1996) Abdominal manifestations in 112 patients. Acta Radiol 37:489–495
Lv M, Tang K, Meng Y et al (2020) Primary isolated asymptomatic gastric tuberculosis of the cardia mimicking gastric stromal tumor: a rare case report and literature review. BMC Gastroenterol 20:108
Ma J, Yin H, Xie H (2019) Critical role of molecular test in early diagnosis of gastric tuberculosis: a rare case report and review of literature. BMC Infect Dis 19:589
Malikowski T, Mahmood M, Smyrk T et al (2018) Tuberculosis of the gastrointestinal tract and associated viscera. J Clin Tuberc Other Mycobact Dis 12:1–8
Mathur P, Sharma R, Kandasamy D et al (2019) Can ADC be used as a surrogate marker of response to therapy in intestinal tuberculosis? Abdom Radiol 44:3006–3018
Miller RE, Sellink JL (1979) Enteroclysis: the small bowel enema. Gastrointest Radiol 4:269–283
Mukewar S, Mukewar S, Ravi R et al (2012) Colon tuberculosis: endoscopic features and prospective endoscopic follow-up after anti-tuberculosis treatment. Clin Transl Gastroenterol 3:e24
Mukhopadhyay M, Rahaman QM, Mallick NR et al (2010) Isolated gastric tuberculosis: a case report and review of literature. Indian J Surg 72:412–413
Nagi B, Lal A, Kochhar R et al (2002) Perforations and fistulae in gastrointestinal tuberculosis. Acta Radiol 43:501–506
Nagi B, Kochhar R, Bhasin DK et al (2003a) Colorectal tuberculosis. Eur Radiol 13:1907–1912
Nagi B, Lal A, Kochhar R et al (2003b) Imaging of esophageal tuberculosis: a review of 23 cases. Acta Radiol 44:329–333
Nagi B, Sodhi KS, Kochhar R et al (2004) Small bowel tuberculosis: enteroclysis findings. Abdom Imaging 29:335–340
Nagi B, Rana SS, Kochhar R et al (2006) Sonoenteroclysis: a new technique for the diagnosis of small bowel diseases. Abdom Imaging 31:417–424
Nagi B, Lal A, Gupta P et al (2015) Radiological findings in duodenal tuberculosis: a 15-year experience. Abdom Imaging 40:1104–1109
Nakano H, Jaramillo E, Watanabe M et al (1992) Intestinal tuberculosis: findings on double-contrast barium enema. Gastrointest Radiol 17:108–114
Pandit K, Khanal S, Bhatta S et al (2018) Anorectal tuberculosis as a chronic rectal mass mimicking rectal prolapse in a child—a case report. Ann Med Surg (Lond) 36:264–266
Pereira JM, Madureira AJ, Vieira A et al (2005) Abdominal tuberculosis: imaging features. Eur J Radiol 55:173–180
Prabhakar N, Kalra N, Bhasin DK et al (2015) Comparison of CT colonography with conventional colonoscopy in patients with ulcerative colitis. Acad Radiol 22:296–302
Prakash A (2009) Abdominal tuberculosis. In: Gupta AK, Chowdhury V, Khandelwal N (eds) Diagnostic radiology: gastrointestinal and hepatobiliary imaging, 3rd edn. Jaypee Brothers Medical Publishers, New Delhi, pp 112–133
Prasant P, Kajal N, Dadra R et al (2019) Esophageal tuberculosis: a rare case report. Int J Mycobacteriol 8:409–411
Puri AS, Vij JC, Chaudhary A et al (1996) Diagnosis and outcome of isolated rectal tuberculosis. Dis Colon Rectum 39:1126–1129
Singhal M, Krishna S, Lal A et al (2019) Encapsulating peritoneal sclerosis: the abdominal cocoon. Radiographics 39:62–77
Xiong J, Guo W, Guo Y et al (2020) Clinical and endoscopic features of esophageal tuberculosis: a 20-year retrospective study. Scand J Gastroenterol 55:1200–1204
Yang G, Zhang W, Yu T et al (2015) The features of intestinal tuberculosis by contrast-enhanced ultrasound. Jpn J Radiol 33:577–584
Zengin K, Taskin M, Cicek Y et al (2003) Primary gastric tuberculosis mimicking gastric tumor that results in pyloric stenosis. Eur Surg 35:220–221
Zhu R, Zhou Y, Wang H et al (2020) Gastric tuberculosis mimicking submucosal tumor: a case series. BMC Gastroenterol 20:23
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2022 The Author(s), under exclusive license to Springer Nature Switzerland AG
About this chapter
Cite this chapter
Prabhakar, N., Kalra, N. (2022). Imaging of Gastrointestinal Tuberculosis. In: Ladeb, M.F., Peh, W.C.G. (eds) Imaging of Tuberculosis. Medical Radiology(). Springer, Cham. https://doi.org/10.1007/978-3-031-07040-2_10
Download citation
DOI: https://doi.org/10.1007/978-3-031-07040-2_10
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-031-07039-6
Online ISBN: 978-3-031-07040-2
eBook Packages: MedicineMedicine (R0)