Artículos relacionadosArtículos relacionadosArtículos relacionados
Artículos afines de siicsalud publicados en los últimos 4 meses
EXTRACCIÓN DE MATERIAL DE OSTEOSÍNTESIS ASISTIDA POR ECOGRÁFICA
Revista Española de Cirugía Ortopédica y Traumatología 68(5):482-489
Difundido en siicsalud: 28 oct 2024

DIAGNOSTICO POR IMAGENES DE LA TUBERCULOSIS ABDOMINAL

(especial para SIIC © Derechos reservados)
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


Artículo completo

(castellano)
Extensión:  +/-18.7 páginas impresas en papel A4
Exclusivo para suscriptores/assinantes

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


Full text
(english)
para suscriptores/ assinantes

Clasificación en siicsalud
Artículos originales > Expertos del Mundo >
página   www.siicsalud.com/des/expertocompleto.php/

Especialidades
Principal: Diagnóstico por Imágenes, Infectología
Relacionadas: Medicina Interna



Comprar este artículo
Extensión: 18.7 páginas impresas en papel A4

file05.gif (1491 bytes) Artículos seleccionados para su compra



Bibliografía del artículo
  1. Carrera GF, Young S, Lewicki AM. Intestinal tuberculosis. Gastrointest Radiol 1976; 1:147-55.
  2. Thoeni RF, Margulis AR. Gastrointestinal tuberculosis. Semin Roentgenol 1979; 14:283-94.
  3. Manohar A, Simjee AE, Haffejee AA, Pettengell KE. Symptoms and investigative findings in 145 patients with tuberculous peritonitis diagnosed by peritoneoscopy and biopsy over a five year period. Gut 1990; 31:1130-2.
  4. Bhansali SK. Abdominal tuberculosis. Experiences with 300 cases. Am J Gastroenterol 1977; 67:324-37.
  5. Al-Hadeedi S, Walia HS, Al-Sayer HM. Abdominal tuberculosis. Can J Surg 1990; 33:233-7.
  6. Jakubowski A, Elwood RK, Enarson DA. Clinical features of abdominal tuberculosis. J Infect Dis 1988; 158:687-92.
  7. Crowley JJ, Ramji FG, Amundson GM. Genital tract tuberculosis with peritoneal involvement: MR appearance. Abdom Imaging 1997; 22:445-7.
  8. Yapar EG, Ekici E, Karasahin E, Gokmen O. Sonographic features of tuberculous peritonitis with female genital tract tuberculosis. Ultrasound Obstet Gynecol 1995; 6:121-5.
  9. Epstein BM, Mann JH. CT of abdominal tuberculosis. AJR Am J Roentgenol 1982; 139:861-6.
  10. Hanson RD, Hunter TB. Tuberculous peritonitis: CT appearance. AJR Am J Roentgenol 1985; 144:931-2.
  11. Batra A, Gulati MS, Sarma D, Paul SB. Sonographic appearances in abdominal tuberculosis. J Clin Ultrasound 2000; 28:233-45.
  12. Leder RA, Low VH. Tuberculosis of the abdomen. Radiol Clin North Am 1995; 33:691-705.
  13. Lee DH, Lim JH, Ko YT, Yoon Y. Sonographic findings in tuberculous peritonitis of wet-ascitic type. Clin Radiol 1991; 44:306-10.
  14. Jadvar H, Mindelzun RE, Olcott EW, Levitt DB. Still the great mimicker: abdominal tuberculosis. AJR Am J Roentgenol 1997; 168:1455-60.
  15. Denton T, Hossain J. A radiological study of abdominal tuberculosis in a Saudi population, with special reference to ultrasound and computed tomography. Clin Radiol 1993; 47:409-14.
  16. Ramaiya LI, Walter DF. Sonographic features of tuberculous peritonitis. Abdom Imaging 1993; 18:23-6.
  17. Kedar RP, Shah PP, Shivde RS, Malde HM. Sonographic findings in gastrointestinal and peritoneal tuberculosis. Clin Radiol 1994; 49:24-9.
  18. Hulnick DH, Megibow AJ, Naidich DP, Hilton S, Cho KC, Balthazar EJ. Abdominal tuberculosis: CT evaluation. Radiology 1985; 157:199-204.
  19. Jorge AD. Peritoneal tuberculosis. Endoscopy 1984; 16:10-2.
  20. Sinan T, Sheikh M, Ramadan S, Sahwney S, Behbehani A. CT features in abdominal tuberculosis: 20 years experience. BMC Med Imaging 2002; 2:3
  21. Akhan O, Demirkazik FB, Demirkazik A, Gulekon N, Eryilmaz M, Unsal M, et al. Tuberculous peritonitis: ultrasonic diagnosis. J Clin Ultrasound 1990; 18:711-4.
  22. Lundstedt C, Nyman R, Brismar J, Hugosson C, Kagevi I. Imaging of tuberculosis. II. Abdominal manifestations in 112 patients. Acta Radiol 1996; 37:489-95.
  23. Zirinsky K, Auh YH, Kneeland JB, Rubenstein WA, Kazam E. Computed tomography, sonography, and MR imaging of abdominal tuberculosis. J Comput Assist Tomogr 1985; 9:961-3.
  24. Demirkazik FB, Akhan O, Ozmen MN, Akata D. US and CT findings in the diagnosis of tuberculous peritonitis. Acta Radiol 1996; 37:517-20.
  25. Sheikh M, Abu-Zidan F, al-Hilaly M, Behbehani A. Abdominal tuberculosis: comparison of sonography and computed tomography. J Clin Ultrasound 1995; 23:413-7.
  26. Dahlene DH Jr, Stanley RJ, Koehler RE, Shin MS, Tishler JM. Abdominal tuberculosis: CT findings. J Comput Assist Tomogr 1984; 8:443-5.
  27. Jain R, Sawhney S, Bhargava DK, Berry M. Diagnosis of abdominal tuberculosis: sonographic findings in patients with early disease. AJR Am J Roentgenol 1995; 165:1391-5.
  28. Prasad S, Patankar T. Computed tomography demonstration of a fat-fluid level in tuberculous chylous ascites. Australas Radiol 1999; 43:542-3.
  29. Bankier AA, Fleischmann D, Wiesmayr MN, Putz D, Kontrus M, Hubsch P, et al. Update: abdominal tuberculosis--unusual findings on CT. Clin Radiol 1995; 50:223-8.
  30. Rodriguez E, Pombo F. Peritoneal tuberculosis versus peritoneal carcinomatosis: distinction based on CT findings. J Comput Assist Tomogr 1996; 20:269-72.
  31. Ozkan K, Gurses N, Gurses N. Ultrasonic appearance of tuberculous peritonitis. J Clin Ultrasound 1987; 15:350-2.
  32. Wu CC, Chow KS, Lu TN, Huang FT. Sonographic features of turberculous omental cakes in peritoneal tuberculosis. J Clin Ultrasound 1988; 16:195-8.
  33. Ha HK, Jung JI, Lee MS, Choi BG, Lee MG, Kim YH, et al. CT differentiation of tuberculous peritonitis and peritoneal carcinomatosis. AJR Am J Roentgenol 1996; 167:743-8.
  34. Akhan O, Kalyoncu F, Ozmen MN, Demirkazik FB, Cekirge HS, Sahin A, et al. Peritoneal mesothelioma: sonographic findings in nine cases. Abdom Imaging 1993; 18:280-2.
  35. Arai K, Makino H, Morioka T, Yagi H, Minabe K, Takeyama S, et al. Enhancement of ascites on MRI following intravenous administration of Gd-DTPA. J Comput Assist Tomogr 1993; 17:617-22.
  36. Skendros P, Kamaria F, Kontopoulos V, Tsitouridis I, Sidiropoulos L. Intradural, eextramedullary tuberculoma of the spinal cord as a complication of tuberculous meningitis. Infection 2003; 31:115-7.
  37. Rossner R. [50 years of x-ray mass screening]. Rontgenpraxis 1990; 43:376-9.
  38. Kinoshita T, Yashiro N, Yoshigi J, Ihara N, Fukuma E, Narita M. Inflammatory intramammary lymph node mimicking the malignant lesion in dynamic MRI: a case report. Clin Imaging 2002; 26:258-62.
  39. Gasparetto EL, Tazoniero P, de Carvalho Neto A. Disseminated tuberculosis in a pregnant woman presenting with numerous brain tuberculomas: case report. Arq Neuropsiquiatr 2003; 61:855-8.
  40. Ebert DL, Olivier KN. Nontuberculous mycobacteria in the setting of cystic fibrosis. Clin Chest Med 2002; 23:655-63.
  41. Aggarwal D, Suri A, Mahapatra AK. Orbital tuberculosis with abscess. J Neuroophthalmol 2002; 22:208-10.
  42. Sheikh M, Moosa I, Hussein FM, Qurttom MA, Behbehani AI. Ultrasonographic diagnosis in abdominal tuberculosis. Australas Radiol 1999; 43:175-9.
  43. Da Costa H, Adatrao V, Merchant S. A radiocolloid study of the reticulo-endothelial system in tropical diseases. Nuklearmedizin 1979; 18:130-2.
  44. Neufang KF, Beyer D. [Conventional diagnosis of lymphadenopathies--value of conventional roentgen examination and supplementation of other imaging technics]. Rontgenblatter 1983; 36:30-44.
  45. Stanley JH, Yantis PL, Marsh WH. Periportal tuberculous adenitis: a rare cause of obstructive jaundice. Gastrointest Radiol 1984; 9:227-9.
  46. Alvarez SZ, Carpio R. Hepatobiliary tuberculosis. Dig Dis Sci 1983; 28:193-200.
  47. Caroli-Bosc FX, Conio M, Maes B, Chevallier P, Hastier P, Delmont JP. Abdominal tuberculosis involving hepatic hilar lymph nodes. A cause of portal vein thrombosis and portal hypertension. J Clin Gastroenterol 1997; 25:541-3.
  48. Reichard AA, Lobato MN, Roberts CA, Bazerman LB, Hammett TM. Assessment of tuberculosis screening and management practices of large jail systems. Public Health Rep 2003; 118:500-7.
  49. Pombo F, Rodriguez E, Mato J, Perez-Fontan J, Rivera E, Valvuena L. Patterns of contrast enhancement of tuberculous lymph nodes demonstrated by computed tomography. Clin Radiol 1992; 46:13-7.
  50. Moon WK, Im JG, Yu IK, Lee SK, Yeon KM, Han MC. Mediastinal tuberculous lymphadenitis: MR imaging appearance with clinicopathologic correlation. AJR Am J Roentgenol 1996; 166:21-5.
  51. Kim SY, Kim MJ, Chung JJ, Lee JT, Yoo HS. Abdominal tuberculous lymphadenopathy: MR imaging findings. Abdom Imaging 2000; 25:627-32.
  52. Vidal ML, del Castillo F, Arroba ML, Borque C, Garcia Hortelano J. [Abdominal tuberculosis in children. A review apropos of 13 cases]. An Esp Pediatr 1986; 24:227-31.
  53. Yang ZG, Min PQ, Sone S, He ZY, Liao ZY, Zhou XP, et al. Tuberculosis versus lymphomas in the abdominal lymph nodes: evaluation with contrast-enhanced CT. AJR Am J Roentgenol 1999; 172:619-23.
  54. Balthazar EJ, Gordon R, Hulnick D. Ileocecal tuberculosis: CT and radiologic evaluation. AJR Am J Roentgenol 1990; 154:499-503.
  55. Brown JH, Berman JJ, Blickman JG, Chew FS. Primary ileocecal tuberculosis. AJR Am J Roentgenol 1993; 160:278
  56. Denath FM. Abdominal tuberculosis in children: CT findings. Gastrointest Radiol 1990; 15:303-6.
  57. Suri R, Gupta S, Gupta SK, Singh K, Suri S. Ultrasound guided fine needle aspiration cytology in abdominal tuberculosis. Br J Radiol 1998; 71:723-7.
  58. Makanjuola D. Is it Crohn's disease or intestinal tuberculosis CT analysis. Eur J Radiol 1998; 28:55-61.
  59. Tandon HD, Prakash A. Pathology of intestinal tuberculosis and its distinction from Crohn’s disease. Gut 1972; 13:260-9.
  60. McNamara M, Williams CE, Brown TS, Gopichandran TD. Tuberculosis affecting the oesophagus. Clin Radiol 1987; 38:419-22.
  61. Tornieporth N, Lorenz R, Gain T, Rosch T, Classen M. An unusual case of active tuberculosis of the oesophagus in an adult. Endoscopy 1991; 23:294-6.
  62. Okoro EO, Komolafe OF. Gastric tuberculosis: unusual presentations in two patients. Clin Radiol 1999; 54:257-9.
  63. Fukuya T, Yoshimitsu K, Kitagawa S, Masuda K, Ueyama T, Haraguchi Y. Single tuberculous stricture in the jejunum: report of 2 cases. Gastrointest Radiol 1989; 14:300-4.
  64. Healy JC, Gorman S, Kumar PJ. Case report: tuberculous colitis mimicking Crohn’s disease. Clin Radiol 1992; 46:131-2.
  65. Nakano H, Jaramillo E, Watanabe M, Miyachi I, Takahama K, Itoh M. Intestinal tuberculosis: findings on double-contrast barium enema. Gastrointest Radiol 1992; 17:108-14.
  66. Downey DB, Nakielny RA. Aphthoid ulcers in colonic tuberculosis. Br J Radiol 1985; 58:561-2.
  67. Bargallo N, Nicolau C, Luburich P, Ayuso C, Cardenal C, Gimeno F. Intestinal tuberculosis in AIDS. Gastrointest Radiol 1992; 17:115-8.
  68. Lee DH, Ko YT, Yoon Y, Lim JH. Sonographic findings of intestinal tuberculosis. J Ultrasound Med 1993; 12:537-40.
  69. Fischer G, Spengler U, Neubrand M, Sauerbruch T. Isolated tuberculosis of the pancreas masquerading as a pancreatic mass. Am J Gastroenterol 1995; 90:2227-30.
  70. Desai DC, Swaroop VS, Mohandas KM, Borges A, Dhir V, Nagral A, et al. Tuberculosis of the pancreas: report of three cases. Am J Gastroenterol 1991; 86:761-3.
  71. Desai SR, Bhanthunmavin K, Hollands M. Primary pancreatic tuberculosis: presentation and diagnosis. Aust N Z J Surg 2000; 70:141-3.
  72. Morris DL, Wilkinson LS, al Mokhtar N. Case report: emphysematous tuberculous pancreatitis diagnosis by ultrasound and computed tomography. Clin Radiol 1993; 48:286-7.
  73. Choi BI, Im JG, Han MC, Lee HS. Hepatosplenic tuberculosis with hypersplenism: CT evaluation. Gastrointest Radiol 1989; 14:265-7.
  74. Kapoor R, Jain AK, Chaturvedi U, Saha MM. Ultrasound detection of tuberculomas of the spleen. Clin Radiol 1991; 43:128-9.
  75. Buxi TB, Vohra RB, Sujatha Y, Chawla D, Byotra SP, Gupta PS, et al. CT appearances in macronodular hepatosplenic tuberculosis: a review with five additional new cases. Comput Med Imaging Graph 1992; 16:381-7.
  76. Wilde CC, Kueh YK. Case report: Tuberculous hepatic and splenic abscess. Clin Radiol 1991; 43:215-6.
  77. Blangy S, Cornud F, Sibert A, Vissuzaine C, Saraux JL, Benacerraf R. Hepatitis tuberculosis presenting as tumoral disease on ultrasonography. Gastrointest Radiol 1988; 13:52-4.
  78. Malde HM, Chadha D. The "cluster" sign in macronodular hepatic tuberculosis: CT features. J Comput Assist Tomogr 1993; 17:159-61.
  79. Kawamori Y, Matsui O, Kitagawa K, Kadoya M, Takashima T, Yamahana T. Macronodular tuberculoma of the liver: CT and MR findings. AJR Am J Roentgenol 1992; 158:311-3.
  80. Murata Y, Yamada I, Sumiya Y, Shichijo Y, Suzuki Y. Abdominal macronodular tuberculomas: MR findings. J Comput Assist Tomogr 1996; 20:643-6.
  81. Schanaider A, Madi K. Intra-abdominal tuberculosis in acquired immunodeficiency syndrome. Diagnosis and management. Int Surg 1995; 80:147-51.
  82. Kaplan MM, Boice JD Jr, Ames DB, Rosenstein M. Thyroid, parathyroid, and salivary gland evaluations in patients exposed to multiple fluoroscopic examinations during tuberculosis therapy: a pilot study. J Clin Endocrinol Metab 1988; 66:376-82.
  83. Greenberg AK, Knapp J, Rom WN, Addrizzo-Harris DJ. Clinical presentation of pulmonary mycetoma in HIV-infected patients. Chest 2002; 122:886-92.
  84. Radin DR. Intraabdominal Mycobacterium tuberculosis vs Mycobacterium avium-intracellulare infections in patients with AIDS: distinction based on CT findings. AJR Am J Roentgenol 1991; 156:487-91.
  85. Nyberg DA, Federle MP, Jeffrey RB, Bottles K, Wofsy CB. Abdominal CT findings of disseminated Mycobacterium avium-intracellulare in AIDS. AJR Am J Roentgenol 1985; 145:297-9.
  86. Prasad RS, Fraser MH, Urquhart GD, McLean AN. Rupture of tuberculous spinal abscess resulting in tuberculous empyema and chylothorax. Spinal Cord 2003; 41:410-2.
  87. Von Kummer R, Storch B, Rauch H, Krause KH. [A case of multiple intracranial tuberculoma followed by serial computerized tomography (author's transl)]. Nervenarzt 1981; 52:344-7.
  88. De Silva R, Stoopack PM, Raufman JP. Esophageal fistulas associated with mycobacterial infection in patients at risk for AIDS. Radiology 1990; 175:449-53.
  89. Goodman P, Pinero SS, Rance RM, Mansell PW, Uribe-Botero G. Mycobacterial esophagitis in AIDS. Gastrointest Radiol 1989; 14:103-5.
  90. Brody JM, Miller DK, Zeman RK, Klappenbach RS, Jaffe MH, Clark LR, et al. Gastric tuberculosis: a manifestation of acquired immunodeficiency syndrome. Radiology 1986; 159:347-8.
  91. Vincent ME, Robbins AH. Mycobacterium avium-intracellulare complex enteritis: pseudo-Whipple disease in AIDS. AJR Am J Roentgenol 1985; 144:921-2.
  92. Gupta NM, Motup T, Joshi K. Isolated colonic tuberculous perforation as a rare cause of peritonitis: report of a case. Surg Today 1999; 29:273-5.
  93. Farman J, Brunetti J, Baer JW, Freiman H, Comer GM, Scholz FJ, et al. AIDS-related cholangiopancreatographic changes. Abdom Imaging 1994; 19:417-22.

Título español
Resumen
 Palabras clave
 Bibliografía
 Artículo completo
(exclusivo a suscriptores)
 Autoevaluación
  Tema principal en SIIC Data Bases
 Especialidades

 English title
 Abstract
 Key words
Full text
(exclusivo a suscriptores)

Autor 
Artículos
Correspondencia

Patrocinio y reconocimiento
Imprimir esta página
 
 
 
 
 
 
 
 
 
 
 
 
Está expresamente prohibida la redistribución y la redifusión de todo o parte de los contenidos de la Sociedad Iberoamericana de Información Científica (SIIC) S.A. sin previo y expreso consentimiento de SIIC.
Artículos relacionadosMás relacionadosAtículos relacionados
EFICACIA Y SEGURIDAD DE LA OBSERVACIÓN RESPECTO DEL DIAGNÓSTICO POR IMÁGENES EN LA APENDICITIS EQUÍVOCA TEMPRANA
British Journal of Surgery 109(7):588-594
Difundido en siicsalud: 20 sep 2024
HALLAZGOS EN LA TOMOGRAFÍA COMPUTARIZADA EN PACIENTES CON EMBOLIA PULMONAR AGUDA Y DE BAJO RIESGO
JAMA Network Open 6(5):1-11
Difundido en siicsalud: 25 oct 2024
REPERCUSIONES CLÍNICAS DE LA IDENTIFICACIÓN DE TAPONES MUCOSOS EN LAS VÍAS RESPIRATORIAS
JAMA 329(21):1832-1839
Difundido en siicsalud: 10 oct 2024
ua31618
Home

Copyright siicsalud © 1997-2024 ISSN siicsalud: 1667-9008