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Area of Science:

  • Radiology
  • Gastroenterology
  • Infectious Diseases

Background:

  • Multi-slice computed tomography enterography (MSCTE) is a valuable tool for diagnosing and monitoring intestinal diseases.
  • Emerging evidence suggests MSCTE's potential utility in identifying intestinal tuberculosis (ITB).

Purpose of the Study:

  • To evaluate the effectiveness of MSCTE in diagnosing intestinal tuberculosis (ITB) within a medical center.
  • To identify characteristic MSCTE findings associated with ITB.

Main Methods:

  • A retrospective analysis of 15 patients diagnosed with ITB via MSCTE.
  • Radiologists assessed ITB location, morphology, and associated abdominal changes.
  • Diagnosis confirmation through pathology or clinical criteria.

Main Results:

  • Abdominal pain was the most frequent symptom (80%).
  • The ileocecum was the most commonly affected site (87%).
  • Characteristic MSCTE findings included mural thickening (40%), solid masses (60%), and enlarged lymph nodes (87%) with central necrosis and rim enhancement (67%).

Conclusions:

  • Characteristic MSCTE findings for ITB involve ileocecal solid masses or symmetric mural thickening and rim-enhanced lymph nodes.
  • High suspicion combined with knowledge of these MSCTE features can facilitate early ITB diagnosis.