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Published on: April 9, 2012
Abdominal tuberculosis in Qatar: a clinico-radiological study
W Szmigielski1, B Venkatraman, G C Ejeckam
1Department of Radiology, Hamad General Hospital, Doha, State of Qatar.
Summary
Radiology plays a key role in diagnosing abdominal tuberculosis. While no single imaging method is definitive, computed tomography (CT) and ultrasound are crucial, aiding surgical decisions.
Area of Science:
- Radiology
- Gastroenterology
- Infectious Diseases
Background:
- Abdominal tuberculosis (TB) presents diagnostic challenges.
- Radiological assessment is vital for understanding disease extent and guiding treatment.
Purpose of the Study:
- To define and correlate the role of various radiological modalities with clinical and pathological findings in abdominal tuberculosis.
- To evaluate the diagnostic accuracy of different imaging techniques for abdominal TB.
Main Methods:
- Retrospective analysis of 59 patients with bacteriologically/histologically confirmed abdominal TB.
- Radiological assessment included plain abdominal radiographs, gastrointestinal contrast studies, ultrasonography, and computed tomography (CT).
Main Results:
- Plain radiographs had 50% positivity; contrast studies showed 80% positivity.
- Ultrasonography (81%) and CT (80%) revealed abnormal findings.
- Imaging identified peritoneal (27%), bowel (61%), mass lesions (19%), and lymphadenopathy (22%) involvement.
Conclusions:
- No single radiological method is sufficient for diagnosing abdominal TB.
- Combined CT and ultrasound are the most valuable imaging tools.
- Contrast studies are essential for assessing bowel disease extent and surgical planning.
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