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DIAGNOSTICO POR IMAGENES DE LA TUBERCULOSIS ABDOMINAL

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En la tuberculosis abdominal los hallazgos de los estudios por imágenes sugieren esta entidad y deben analizarse junto con la presentación clínica del cuadro para arribar al diagnóstico.
sheik9.jpg Autor:
Mehraj Sheikh
Columnista Experto de SIIC

Institución:
Department of Radiology Faculty of Medicine Kuwait University


Artículos publicados por Mehraj Sheikh
Coautores
Tariq Sinan, FRCR, FFR, RCS,*  Marwa M. S. Al-Qudhaiby, MBBS,**  Suhail A. R. Doi, MMed, FRCP,** 
Departments of Radiology, Mubarak Al-Kabeer Teaching Hospital and Kuwait University, Jabriya, Kuwait.*
Departments of Radiology and Medicine, Mubarak Al-Kabeer Teaching Hospital and Kuwait University, Jabriya, Kuwait.**
Recepción del artículo
11 de Enero, 2005
Aprobación
17 de Enero, 2005
Primera edición
7 de Febrero, 2006
Segunda edición, ampliada y corregida
7 de Junio, 2021

Resumen
La tuberculosis abdominal es endémica en la mayoría de los países en vías de desarrollo y su incidencia en los países occidentales aumentó debido a la incidencia del síndrome de inmunodeficiencia adquirida (sida). Esta enfermedad puede ser un desafío diagnóstico, incluso para los médicos con experiencia, porque los pacientes habitualmente presentan signos y síntomas inespecíficos. Puede asemejarse a patologías tan variadas como el linfoma, enfermedad de Crohn, amebiasis y adenocarcinoma. Las características de las imágenes no son patognomónicas, pero pueden sugerir el diagnóstico cuando se las considera junto con la presentación clínica, el estado inmunológico y las características demográficas del paciente. En esta revisión analizamos las características importantes de la enfermedad mediante las distintas modalidades del diagnóstico por imágenes.

Palabras clave
Tuberculosis, abdomen, diagnóstico por imágenes, tomografía computarizada, ecografía


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Abstract
Abdominal tuberculosis is endemic in most developing countries, and its incidence in western countries has risen because incidence of the acquired immunodeficiency syndrome (AIDS). The disease can be a diagnostic challenge even for experienced physians because patients with the disease usually present with non specific signs symptoms. It can mimic conditions as varied as lymphoma, Crohn’s disease, amebiasis, and adenocaricoma. Imaging features are not pathognomonic but can readily suggest the diagnosis when considered along with the clinical presentation, immune status, and demographic background of the patient. In this review we highlight the important features of this disease as shown by various imaging modalities.

Key words
Tuberculosis, abdomen, imaging, computerized tomography, ultrasound


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Clasificación en siicsalud
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Especialidades
Principal: Diagnóstico por Imágenes, Infectología
Relacionadas: Medicina Interna



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