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Abdominal tuberculosis: comparison of sonography and computed tomography
M Sheikh1, F Abu-Zidan, M al-Hilaly
1Department of Radiology, Mubarak Al-Kabeer Teaching Hospital, Kuwait.
Journal of Clinical Ultrasound : JCU
|September 1, 1995
Summary
Ultrasound and CT scans show similar results for abdominal tuberculosis in 9 of 13 patients. While useful, ultrasound cannot fully replace CT for detecting bowel thickening and lymphadenopathy in abdominal TB.
Area of Science:
- Radiology
- Gastroenterology
- Infectious Diseases
Background:
- Abdominal tuberculosis presents diagnostic challenges.
- Imaging modalities like ultrasound and CT are crucial for diagnosis.
Purpose of the Study:
- To compare the diagnostic accuracy of sonography and computed tomography (CT) in patients with abdominal tuberculosis.
- To evaluate the utility of ultrasound as a primary diagnostic tool for abdominal TB.
Main Methods:
- Retrospective analysis of 13 patients with proven abdominal tuberculosis.
- Comparison of sonographic and CT findings over a 9-year period in two Kuwaiti hospitals.
Main Results:
- Ultrasound detected findings similar to CT in 9 out of 13 patients.
- Both modalities showed equal accuracy in identifying ascites and solid organ tuberculosis.
- CT demonstrated higher sensitivity than ultrasound for detecting bowel thickening and lymphadenopathy.
Conclusions:
- Sonography is a valuable tool for diagnosing abdominal tuberculosis, identifying key features like ascites and organ involvement.
- Computed tomography remains superior for detecting subtle findings such as bowel wall thickening and tuberculous lymphadenopathy.
- Ultrasound can be a useful initial imaging modality, but CT is often necessary for comprehensive evaluation of abdominal TB.