Sonography and computed tomography of macroscopic tuberculosis of the liver

Brauner, M.; Buffard, M. D.; Jeantils, Vincent; Legrand, I; Gotheil, C

doi:10.1002/jcu.1870170804

Cited by 51 publications

(28 citation statements)

References 3 publications

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“…8) [54,56,60,61]. Sometimes the lesions are seen hyperechogenic with or without calcification on US [24,55]. Attenuation values in multiple macronodules in the liver and spleen range from 35 to 45 HU [54,61].…”

Section: Liver and Spleenmentioning

confidence: 94%

“…On US, micronodular form of hepatosplenic involvement may show diffuse hyperechogenicity, the ªbright liver or spleenº pattern, and on CT, miliary nodules ranging from 0.5 to 2 mm in diameter cannot be detected, but the liver and spleen may appear homogeneous or heterogeneous and normal in size or enlarged (Fig. 7) [28,53,54,55,56,57,58,59]. These radiological features are non-specific and seen in several benign or malignant conditions.…”

Section: Liver and Spleenmentioning

confidence: 95%

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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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Section: Liver and Spleenmentioning

confidence: 94%

Section: Liver and Spleenmentioning

confidence: 95%

Imaging of abdominal tuberculosis

2001

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“…Focal hepatic involvement in the course of disseminated tuberculosis in patients with AIDS is unusual but has been reported in the form of single or multiple hypoechoic lesions or hyperechoic lesions of variable size. [23][24][25] The differential diagnosis of hepatic focal lesions in HIV-positive patients includes lymphoproliferative disorders, MAI infection, and bacterial and fungal abscesses; these must be taken into consideration. In Kaposi's sarcoma, macroscopic hepatic involvement in the form of small, hyperechoic lesions has been described.…”

Section: Discussionmentioning

confidence: 99%

Abdominal ultrasound findings of disseminated tuberculosis in AIDS

Monill-Serra

Martínez-Noguera

Montserrat

et al. 1997

J. Clin. Ultrasound

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“…However, some reports point out the possibility of presentation with uniloculated pseudotumoral macronodules [5,6,11,22,46,56,57]. A hyperechogenic nodule, with or without calcification, has also been described [6,58,59]. Relative leucocytosis is another unspecific finding in splenic tuberculosis [21].…”

Section: Discussionmentioning

confidence: 99%

Case report of lymph nodal, hepatic and splenic tuberculosis in an HIV-positive patient

Barone¹,

Kreuzig²,

Gusmao³

et al. 2006

Braz J Infect Dis

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We describe a case of a male patient, 38 years old, HIV-positive (most recent CD 4 count about 259/ mm 3 ), with abdominal pain, nausea, vomiting, anorexia, weight loss, and vespertine high fever with chills. His hemogram showed normocytic and normochromic anemia, with a high erythrocyte sedimentation rate (ESR) and gross granulations in the neutrophils. Transaminases were normal. Bone marrow biopsy evidenced a chronic disease anemia pattern and a lack of infectious agents. Abdominal ultrasound examination showed a normal-size spleen, which exhibited heterogeneous parenchyma and multiple small hypoechoic images, together with small ascites, peripancreatic and para-aortic lymphadenopathy. These findings were confirmed by abdominal CT. The liver was normal in size, but had a hyperechoic image, which was not visualized on CT. Histopathological analysis of one of the multiple abdominal lymph nodes obtained by laparoscopic biopsy exhibited a chronic granulomatous inflammatory process, with caseous necrosis. Tissue sections were positive for BAAR (acid-alcohol-resistant bacillus), and the cultures were positive for Mycobacterium tuberculosis. Antituberculosis treatment was begun, and the patient evolved with improvement of his general state, fever remission and weight gain. Splenic tuberculosis is a rare disease, occurring predominantly in patients in late stages of AIDS and/or disseminated tuberculosis. It is a difficult diagnosis, since there are no specific findings. Hence, complementary examinations, such as abdominal ultrasound/ CT, or fine needle aspiration, are usually necessary for investigation and differential diagnosis. Often, lesion regression after anti-tuberculosis regimens can be seen, and splenectomy is restricted to complicated or refractory disease.

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Sonography and computed tomography of macroscopic tuberculosis of the liver

Cited by 51 publications

References 3 publications

Imaging of abdominal tuberculosis

Imaging of abdominal tuberculosis

Abdominal ultrasound findings of disseminated tuberculosis in AIDS

Case report of lymph nodal, hepatic and splenic tuberculosis in an HIV-positive patient

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