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Ultrasonographic diagnosis in abdominal tuberculosis
M Sheikh1, I Moosa, F M Hussein
1Department of Radiology, Faculty of Medicine, Kuwait University, Safat, Kuwait. mehraj@hsc.kuniv.edu.kw
Australasian Radiology
|July 21, 2000
Summary
Sonography can reveal key signs of abdominal tuberculosis (TB), such as ascites and lymphadenopathy. These ultrasound findings offer valuable insights, potentially avoiding the need for exploratory surgery in TB patients.
Area of Science:
- Radiology
- Gastroenterology
- Infectious Diseases
Background:
- Abdominal tuberculosis (TB) presents diagnostic challenges.
- Early and accurate diagnosis is crucial for effective management.
Purpose of the Study:
- To analyze sonographic findings in patients with confirmed abdominal TB.
- To assess the utility of ultrasound in diagnosing abdominal TB and guiding treatment decisions.
Main Methods:
- Retrospective analysis of sonographic data from 39 patients with proven abdominal TB.
- Review of imaging findings including ascites, lymphadenopathy, bowel changes, and organ lesions.
Main Results:
- Common findings included ascites (clear or complex with strands/debris), lymphadenopathy, and bowel wall thickening.
- Omental masses, liver/spleen lesions, and psoas abscesses were also observed.
- Sonographic findings, while not entirely specific, provided significant diagnostic information.
Conclusions:
- Ultrasound is a valuable tool for evaluating suspected abdominal TB.
- Sonographic patterns can suggest abdominal TB and help prevent unnecessary surgical interventions.