Imaging of Abdominal Solid Organ and Peritoneal Tuberculosis

Govil, Sanjay; Eapen, Anu

doi:10.1007/978-3-031-07040-2_9

Cited by 3 publications

(1 citation statement)

References 45 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Diagnosing abdominal TB is often hindered by the absence of distinct clinical signs and symptoms, leading to delayed identification because the disease can mimic other intra-abdominal pathologies[ 8 , 9 ].…”

Section: Introductionmentioning

confidence: 99%

Primary gastroduodenal tuberculosis presenting as gastric outlet obstruction: A case report and review of literature

Ali,

Mohamed,

Mohamud

et al. 2024

World J Clin Cases

View full text Add to dashboard Cite

BACKGROUND Mycobacterium tuberculosis (TB) is the causative agent of TB, a chronic granulomatous illness. This disease is prevalent in low-income countries, posing a significant global health challenge. Gastrointestinal TB is one of the three forms. The disease can mimic other intra-abdominal conditions, leading to delayed diagnosis owing to the absence of specific symptoms. While gastric outlet obstruction (GOO) remains a frequent complication, its incidence has declined with the advent of proton pump inhibitors and Helicobacter pylori eradication therapy. Gastroduodenal TB can cause upper gastrointestinal hemorrhage, obstruction, and malignancy-like tumors. CASE SUMMARY A 23-year-old male presented with recurrent epigastric pain, distension, nausea, vomiting, and weight loss, prompting a referral to a gastroenterologist clinic. Endoscopic examination revealed distorted gastric mucosa and signs of chronic inflammation. However, treatment was interrupted, possibly owing to vomiting or comorbidities such as human immunodeficiency virus infection or diabetes. Subsequent surgical intervention revealed a dilated stomach and diffuse thickening of the duodenal wall. Resection revealed gastric wall effacement with TB. CONCLUSION Primary gastric TB is rare, frequently leading to GOO. Given its rarity, suspicions should be promptly raised when encountering relevant symptoms, often requiring surgical intervention for diagnosis and treatment.

show abstract

Section: Introductionmentioning

confidence: 99%

Primary gastroduodenal tuberculosis presenting as gastric outlet obstruction: A case report and review of literature

Ali,

Mohamed,

Mohamud

et al. 2024

World J Clin Cases

View full text Add to dashboard Cite

show abstract

Imaging of infra-thoracic tuberculosis

Kanthawang,

Pattamapaspong,

Peh

et al. 2023

British Journal of Radiology

View full text Add to dashboard Cite

Tuberculosis (TB) is a potentially curable disease that is a leading cause of death globally. While it typically affects the lungs, this disease may involve many extra-pulmonary sites, particularly in patients with risk factors. Extra-pulmonary TB often mimics a variety of different diseases, posing a diagnostic dilemma. Imaging aids in early diagnosis of TB, especially in patients with non-specific or atypical symptoms found at extra-pulmonary infra-thoracic locations. Imaging also helps guide appropriate laboratory investigation, monitor disease progress and response to treatment. This review aims to highlight the imaging spectrum of TB affecting the infra-thoracic region, ie gastrointestinal tract, abdominal lymph nodes, peritoneal cavity, intra-abdominal solid organs and urogenital system.

show abstract

Prevalence, Factors Associated, and Histological Pattern of Incidental Enlarged Mesenteric Lymph Nodes Among Patients Undergoing Laparotomy at Referral Hospitals in Central Tanzania: a Cross-sectional Study

RWEYEMAMU,

MWASHAMBWA

2024

Preprint

View full text Add to dashboard Cite

Background: There are different causes of incidental enlarged mesenteric lymph nodes found during laparotomy, which most of the time influence the postoperative course. These causes are variable across the globe, but the node pattern in our locality and the factors associated with the incidental enlarged mesenteric lymph nodes are not yet established. Due to the lack of an established protocol in our locality, there have been some mismanaged cases that led to several postoperative complications. Therefore this study aimed to evaluate the prevalence, factors associated with, and histological pattern of incidental mesenteric lymphadenopathy. Methodology: The 885 patients were conveniently recruited in the study. The incidental enlarged mesenteric lymph nodes were taken during surgery, processed and histologically analyzed as per pathological protocol. Obtained data were filled and analyzed by SPSS version 27. Binary logistic regression was used to examine clinical data, with a significance level of p < 0.05, to determine the factors linked to lymph node enlargement. Results: It was seen that 58.08% of the study group, were between the ages of 21 and 40. Male accounted for 71.53% of the total, while 252 individuals were female, making up 28.47%, with M: F ratio being 2.5:1. Pastoral tribes accounted for 5.87% of the total population. A total of 87.40% of patients were operated due to peritonitis. The prevalence of incidental lymphadenopathy was 12.5%. Identified risk factors in this study were HIV [(43.64%), and (p<.0001)], [smoking (71.43%), and (p<.0001)], [nomadic pastoralism (28.85%) (p<.0001)]. Of the incidental lymphadenopathy (N=111), 23.42% had granulomatous Tuberculous lesions, and 9.01% of lymph nodes harbored malignancy. About 47% of patients had histologically confirmed reactive lymph nodes while 20.72% had an inflammatory pattern. Conclusion and recommendation: The findings in this study indicated that pastoral tribes were prone to getting peritoneal Tuberculosis which predisposes them to getting incidental enlarged mesenteric lymph nodes, also, smoking, and immunocompromised patients were also factors associated with incidental enlarged mesenteric lymph nodes. Therefore, preoperative counseling and thorough investigations should be done in this patient group in case of incidental enlarged mesenteric lymph nodes during laparotomy to rule out life-threatening conditions and comorbidities that can be treated early to prevent longer hospital stays and dangerous outcomes for patients.

show abstract

Imaging of Abdominal Solid Organ and Peritoneal Tuberculosis

Cited by 3 publications

References 45 publications

Primary gastroduodenal tuberculosis presenting as gastric outlet obstruction: A case report and review of literature

Primary gastroduodenal tuberculosis presenting as gastric outlet obstruction: A case report and review of literature

Imaging of infra-thoracic tuberculosis

Prevalence, Factors Associated, and Histological Pattern of Incidental Enlarged Mesenteric Lymph Nodes Among Patients Undergoing Laparotomy at Referral Hospitals in Central Tanzania: a Cross-sectional Study

Contact Info

Product

Resources

About