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Abdominal visceral tuberculosis: a malignancy mimic.

Chandan J Das¹, Nikita Rednam², Zainab Vora¹

¹Department of Radiodiagnosis and Interventional Radiology, All India Institute of Medical Sciences (AIIMS), Ansari Nagar, New Delhi, 110029, India.

Abdominal Radiology (New York)

|May 19, 2023

Summary

Abdominal tuberculosis can mimic cancers of abdominal organs. Recognizing imaging signs of abdominal tuberculosis (TB) is crucial for accurate diagnosis and treatment, especially in endemic areas.

Keywords:

Abdominal viscera CT Cancer MRI Tuberculosis Ultrasonography

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Area of Science:

Radiology
Gastroenterology
Infectious Diseases

Background:

Abdominal tuberculosis (TB) frequently mimics malignancy in the abdominal viscera.
It is prevalent in endemic regions and occurs in non-endemic areas.
Diagnosis is often difficult due to non-specific clinical presentations.

Purpose of the Study:

To discuss abdominal tuberculosis that mimics malignancy of abdominal viscera.
To highlight the importance of recognizing imaging features of abdominal TB.
To aid in the detection, differential diagnosis, staging, biopsy guidance, and response assessment of abdominal TB.

Main Methods:

Review of imaging findings in abdominal tuberculosis.
Comparison of imaging features of abdominal TB with those of malignancy.
Emphasis on the role of imaging in diagnosis and management.

Main Results:

Abdominal TB presents with diverse and often non-specific imaging findings.
Imaging can suggest TB as a differential diagnosis mimicking malignancy.
Early and late disease appearances are important for detection and assessment.

Conclusions:

Awareness of imaging characteristics of abdominal TB is vital.
Imaging plays a key role in differentiating TB from malignancy.
Accurate diagnosis and management of abdominal TB rely on recognizing its varied imaging manifestations.