Tuberculosis in the abdominal lymph nodes: evaluation with contrast-enhanced magnetic resonance imaging

Shao, Huanjie; Zg, Yang; Gh, Xu; Cai, He; Ly, Wen; Zhang, S; Liu, Xiaoyu

doi:10.5588/ijtld.12.0115

Cited by 6 publications

(3 citation statements)

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“…Abdominal CT findings in ITB patients include bowel wall thickening, abdominal lymphadenopathy with central necrosis, intra‐abdominal collections and peritoneal inflammation . MRI of the abdomen is able to delineate peritoneal inflammation through intermediate changes in signal densities and was used in three of our patients. Ultrasound is often limited by the presence of bowel gas and was only used in eight of our patients.…”

Section: Discussionmentioning

confidence: 99%

Intestinal tuberculosis: a diagnostic challenge

Kentley

Ooi

Potter

et al. 2017

Tropical Med Int Health

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Abstractobjective To describe characteristics, presentation, time to diagnosis and diagnostic findings of patients with intestinal tuberculosis (ITB) in a low-burden country.method Retrospective study of 61 consecutive ITB patients diagnosed between 2008 and 2014 at a large East London hospital.results Forty of sixty-one patients were male. Mean age was 34.6 years. 93% of patients were born abroad, mostly from TB-endemic areas (Indian subcontinent: 88%, Africa: 9%). 25% had concomitant pulmonary TB. Median time from symptom onset to ITB diagnosis was 13 weeks (IQR 3-26 weeks). Ten patients were initially treated for IBD, although patients had ITB. The main sites of ITB involvement were the ileocaecum (44%) or small bowel (34%). Five patients had isolated perianal disease. Colonoscopy confirmed a diagnosis of ITB in 77% of those performed. 42 of 61 patients had a diagnosis of ITB confirmed on positive histology and/or microbiology.conclusion Diagnosis of ITB is often delayed, which may result in significant morbidity. ITB should be excluded in patients with abdominal complaints who come from TB-endemic areas to establish prompt diagnosis and treatment. Diagnosis is challenging but aided by axial imaging, colonoscopy and tissue biopsy for TB culture and histology.

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Section: Discussionmentioning

confidence: 99%

Intestinal tuberculosis: a diagnostic challenge

Kentley

Ooi

Potter

et al. 2017

Tropical Med Int Health

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“…Tubercle bacilli can reach the abdominal lymph nodes through ingestion, haematogenous spread or direct spread from adjacent structures. 11 The commonly involved nodes are the mesenteric root, coeliac and peripancreatic lymph nodes. 6 …”

Section: Discussionmentioning

confidence: 99%

“… 6 Contrast-enhanced MRI can also be used to identify tuberculous lymphadenitis in the abdomen based on the anatomical distribution of the nodes and the peripheral enhancement patterns. 11 However, imaging may not be able to differentiate tuberculous coeliac lymphadenitis and abscesses from bacterial abscesses or malignancies. 9 …”

Section: Discussionmentioning

confidence: 99%

Coeliac lymph node abscess: A case report of a rare manifestation of extrapulmonary tuberculosis

Goonetilleke,

Nandasena,

Fernandopulle

et al. 2024

SAGE Open Medical Case Reports

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Tuberculosis is a leading cause of death worldwide, especially in developing countries. It can affect any site in the body and have a myriad of presentations making diagnosis challenging. Tuberculous lymphadenitis in the abdomen is rare. We present a case of a 42-year-old man who presented with non-specific abdominal symptoms and was found to have an intraabdominal abscess on computed tomography scan of the abdomen. Endoscopic ultrasound-guided aspiration was performed, and tuberculosis was confirmed. This case highlights the importance of having a high clinical suspicion of tuberculosis even with vague symptoms in tuberculosis endemic countries. This would prevent unnecessary surgery as tuberculosis is responsive to anti-tuberculosis drugs.

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Value of apparent diffusion coefficient for differentiating peripancreatic tuberculous lymphadenopathy from metastatic lymphadenopathy

et al. 2020

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Tuberculosis in the abdominal lymph nodes: evaluation with contrast-enhanced magnetic resonance imaging

Abstract: The particular anatomic distribution and peripheral enhancement patterns of contrast-enhanced MRI with quantitative analysis might be useful in the diagnosis of abdominal tuberculous lymphadenopathy.

Cited by 6 publications

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Intestinal tuberculosis: a diagnostic challenge

Intestinal tuberculosis: a diagnostic challenge

Coeliac lymph node abscess: A case report of a rare manifestation of extrapulmonary tuberculosis

Value of apparent diffusion coefficient for differentiating peripancreatic tuberculous lymphadenopathy from metastatic lymphadenopathy

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