Esophageal tuberculosis: Findings on barium swallow and computed tomography

Williford, Margaret E.; Thompson, William M.; Hamilton, John D.; Postlethwait, R. W.

doi:10.1007/bf01948102

Cited by 42 publications

(10 citation statements)

References 10 publications

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“…Chest CT or endoscopic ultrasonography around the lesion usually showed an extrinsic adjacent nodular mass, which was thought to be mediastinal lymphoadenopathy. 8 These symptoms and signs are not pathognomonic for esophageal tuberculosis.…”

Section: Discussionmentioning

confidence: 99%

A case of primary esophageal tuberculosis diagnosed by identification of Mycobacteria in paraffin-embedded esophageal biopsy specimens by polymerase chain reaction

Fujiwara¹,

Yoshida²,

Yamada

et al. 2003

Journal of Gastroenterology

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We present a case of primary esophageal tuberculosis diagnosed by polymerase chain reaction (PCR) of paraffin-embedded esophageal biopsy specimens. A 42-year-old Japanese woman visited our clinic because of dysphagia. Radiologic and endoscopic examinations revealed a stenotic lesion with reddish mucosa and multiple ulcers in the middle esophagus. There was no associated lesion outside the esophagus. Histological and bacteriological studies of esophageal biopsy specimens and gastric aspirates did not give a definitive diagnosis. However, mycobacterial DNA was detected by PCR of paraffin-embedded esophageal biopsy specimens. She then was diagnosed as having primary esophageal tuberculosis. The esophageal mucosal lesion almost healed after 1 month of antituberculosis medication with residual annular stenosis which was resolved later by endoscopic balloon dilation.

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Section: Discussionmentioning

confidence: 99%

A case of primary esophageal tuberculosis diagnosed by identification of Mycobacteria in paraffin-embedded esophageal biopsy specimens by polymerase chain reaction

Fujiwara¹,

Yoshida²,

Yamada

et al. 2003

Journal of Gastroenterology

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“…14,15 The presence of nodes with central low-density areas and peripheral rim enhancement, and findings of homogeneous and calcified nodes on CT are helpful in differentiating tuberculous lymphadenitis from other causes of mediastinal lymphadenopathy. [16][17][18] However, findings specific for tuberculous lymphadenopathy on EUS have not been reported yet. In our patient, EUS demonstrated the extramural lesion clearly.…”

Section: Case Reportmentioning

confidence: 94%

Esophageal tuberculosis presenting with an appearance similar to that of carcinoma of the esophagus

Fujiwara

Osugi

Takada

et al. 2003

Journal of Gastroenterology

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A case of esophageal tuberculosis presenting with an appearance similar to that of esophageal cancer is reported. The patient was an 82-year-old man with progressive dysphagia. Barium swallow and esophagoscopy revealed an elevated lesion with deep ulceration in the middle thoracic esophagus. Esophageal carcinoma, in particular, an undermining type of undifferentiated carcinoma, was suspected fluoroscopically and endoscopically. Histological examination of biopsy specimens revealed no malignancy, but there were epithelioid granulomas and a few Langhans' type multinucleated giant cells. Endoscopic ultrasonography clearly demonstrated an extramural lesion with calcification and direct infiltration of enlarged subcarinal lymph nodes into the esophageal wall. Ultrasonographic and histological findings indicated the possibility of esophageal tuberculosis. Although no bacteriological evidence was obtained, a therapeutic trial for tuberculosis, using antituberculous drugs, was started. After 2 weeks, the enlarged subcarinal lymph nodes were markedly reduced in size. The patient's symptoms improved gradually and had disappeared 8 weeks after he started treatment, when tubercle bacilli were isolated from sputum. A connection between the esophageal wall and its adjacent structures was clearly demonstrated by endoscopic ultrasonography. For patients with findings indicative of esophageal tuberculosis on endoscopic ultrasonography, a therapeutic trial for tuberculosis should be considered, even if polymerase chain reaction assay or culture is negative.

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“…Barium examination demonstrates extrinsic compression of the enlarged lymph nodes to the esophagus, esophago-bronchial fistula, sinus tract formation, mucosal irregularity, and ulceration [77]. Computed tomography is a more reliable method to determine full extent of the disease into mediastinum [76,77,78].…”

Section: Esophageal Tuberculosismentioning

confidence: 99%

“…Computed tomography is a more reliable method to determine full extent of the disease into mediastinum [76,77,78].…”

Section: Esophageal Tuberculosismentioning

confidence: 99%

Imaging of abdominal tuberculosis

2001

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The concept of "abdominal tuberculosis" in this review refers to peritoneum and its reflections, gastrointestinal tract, abdominal lymphatic system, and solid visceral organs, as they are subject to varying degrees of involvement alone or in combination. Some features, including free or loculated ascites with thin-mobile septa, smooth peritoneal thickening and enhancement, misty mesentery with large lymph nodes, smudged omental involvement, and advanced ileocecal changes demonstrated by US, CT, or gastrointestinal series are deemed suggestive radiological findings. The diagnosis still requires a high index of suspicion, once the suggestive features have been demonstrated by imaging modalities.

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Esophageal tuberculosis: Findings on barium swallow and computed tomography

Cited by 42 publications

References 10 publications

A case of primary esophageal tuberculosis diagnosed by identification of Mycobacteria in paraffin-embedded esophageal biopsy specimens by polymerase chain reaction

A case of primary esophageal tuberculosis diagnosed by identification of Mycobacteria in paraffin-embedded esophageal biopsy specimens by polymerase chain reaction

Esophageal tuberculosis presenting with an appearance similar to that of carcinoma of the esophagus

Imaging of abdominal tuberculosis

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