Role of computed tomography in the diagnosis of rib and lung involvement in tuberculous retromammary abscesses

Supe, Avinash; Prabhu, Ramkrishna; Hira, Priya

doi:10.1007/s00256-001-0451-2

Cited by 14 publications

(9 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…[37811] Similar findings were obtained in our study. There is a paucity of reports highlighting the use of USG as a cost-effective and useful modality to assess rib destruction and associated soft tissue abscess.…”

Section: Discussionsupporting

confidence: 91%

“…The majority of earlier investigators have highlighted the role of CT scan only, and few workers have described MRI abnormalities. [235711] Although MRI is a radiation-free modality with excellent delineation of soft tissue pathology, most orthopedicians in our institution primarily refer patients expected to have osteolytic/sclerotic lesions for a CT scan as the next modality after radiography. In our patients, the diagnosis was arrived at in all patients by radiography, USG, and CT scan, and confirmed by tissue aspirates/curettage.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Chest wall tuberculosis - A clinical and imaging experience

Grover

Jain

Dumeer

et al. 2011

Indian J Radiol Imaging

View full text Add to dashboard Cite

Aims:Tuberculous infection of the thoracic cage is rare and is difficult to discern clinically or on radiographs. This study aims to describe the common sites and the imaging appearances of chest wall tuberculosis.Materials and Methods:A retrospective review of the clinical and imaging records of 12 confirmed cases of thoracic cage tuberculosis (excluding that of the spine), seen over the last 7 years, was performed. Imaging studies available included radiographs, ultrasonographies (USGs), and computed tomography (CT) scans. Pathological confirmation was obtained in all cases.Results:All patients had clinical signs and symptoms localized to the site of involvement, whether it was the sternum, sternoclavicular joints, or ribs. CT scan revealed sternal destruction in three patients and osteolytic lesions with sclerosis of the articular surfaces of the sternoclavicular joints in two patients. In five patients with rib lesions, USG elegantly demonstrated the bone destruction underlying the cold abscess. All cases were confirmed to be of tuberculous origin by pathology studies of the aspirated/curetted material, obtained by CT / USG guidance.Conclusions:Tuberculous etiology should be considered for patients presenting with atypical sites of skeletal inflammation. CT scan plays an important role in the evaluation of these patients. However, the use of USG for demonstrating rib destruction in a chest wall cold abscess has so far been under-emphasized, as has been the role of CT and USG guided aspiration in confirming the aetiology.

show abstract

Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Chest wall tuberculosis - A clinical and imaging experience

Grover

Jain

Dumeer

et al. 2011

Indian J Radiol Imaging

View full text Add to dashboard Cite

show abstract

“…Ces masses pariétales peuvent parfois faire discuter une origine tumorale [6]. La tuberculose de la paroi thoracique peut être isolée ou associée à une localisation pulmonaire ou médiastinale, voire multifocale [2, 4]. Les antécédents de tuberculose sont rencontrés en cas d'abcès froid de la paroi thoracique chez 83% des patients [7], et une tuberculose active est concomitante dans 17,4% à 62,5% des cas [8].…”

Section: Discussionunclassified

Abcès tuberculeux de la paroi thoracique chez l'enfant

Barni

Lahkim²,

Achour³

2013

Pan Afr Med J

View full text Add to dashboard Cite

La localisation pariétale thoracique chez l'enfant est une forme très rare de tuberculose. Son diagnostic est souvent difficile nécessitant le recours à la biopsie chirurgicale. Nous rapportons le cas d'une jeune fille de 14 ans, présentant depuis un mois et demi une tuméfaction de la paroi thoracique antérieure. La tomodensitométrie thoracique a objectivé un processus lésionnel pariétal para-sternal droit à limites imprécises responsable d'une érosion du sternum. L'examen anatomo-pathologique des biopsies de la coque d'abcès a confirmé le diagnostic de tuberculose caséo-folliculaire. Le traitement anti-bacillaire a permis une évolution favorable.

show abstract

“…Soft tissue abscess formation underneath the right pectoralis muscle, with concomitant rib erosion lieved to develop secondary to a cold abscess in overlying soft tissue which breaks through to the cortical bone or costal cartilage causing osteitis or tuberculous chondritis. Magnetic resonance imaging and even more so CT are the imaging modalities of choice in looking for rib lesions since plain-film radiography has a low sensitivity for osteolytic rib lesions [23].…”

Section: Lytic and Multifocal Tuberculosismentioning

confidence: 99%

Imaging features of musculoskeletal tuberculosis

et al. 2003

View full text Add to dashboard Cite

The purpose of this article is to review the imaging characteristics of musculoskeletal tuberculosis. Skeletal tuberculosis represents one-third of all cases of tuberculosis occurring in extrapulmonary sites. Hematogenous spread from a distant focus elsewhere in the body is the cornerstone in the understanding of imaging features of musculoskeletal tuberculosis. The most common presentations are tuberculous spondylitis, arthritis, osteomyelitis, and soft tissue involvement. The diagnostic value of the different imaging techniques, which include conventional radiography, CT, and MR imaging, are emphasized. Whereas conventional radiography is the mainstay in the diagnosis of tuberculous arthritis and osteomyelitis, MR imaging may detect associated bone marrow and soft tissue abnormalities. MR imaging is generally accepted as the imaging modality of choice for diagnosis, demonstration of the extent of the disease of tuberculous spondylitis, and soft tissue tuberculosis. Moreover, it may be very helpful in the differential diagnosis with pyogenic spondylodiscitis, as it may easily demonstrate anterior corner destruction, the relative preservation of the intervertebral disk, multilevel involvement with or without skip lesions, and a large soft tissue abscess, as these are all arguments in favor of a tuberculous spondylitis. On the other hand, CT is still superior in the demonstration of calcifications, which are found in chronic tuberculous abscesses.

show abstract

Role of computed tomography in the diagnosis of rib and lung involvement in tuberculous retromammary abscesses

Cited by 14 publications

References 3 publications

Chest wall tuberculosis - A clinical and imaging experience

Chest wall tuberculosis - A clinical and imaging experience

Abcès tuberculeux de la paroi thoracique chez l'enfant

Imaging features of musculoskeletal tuberculosis

Contact Info

Product

Resources

About