Abstract
Objective
The aim of this study was to describe the computed tomography (CT) findings in patients
with demonstrated peritoneal tuberculosis (TB) and their concordance with the three
types from the traditional classification (wet, fibrotic, and dry plastic).
Methods
We reviewed the CT images of all patients with microbiologically proven peritoneal
tuberculosis over a 6-year period (1996–2001).
Results
Seven patients were included. Ascites was present in 5 patients (free ascites in 3
patients and loculated in 2). Involvement of the mesentery was found in 5 patients,
the omentum in 4, and the parietal peritoneum in 3. Tuberculous lymphadenitis was
the most common associated finding (6 patients). Two patients had hepatic lesions.
The fibrotic type was found in all the patients, and 5 patients had an association
of the fibrotic and wet types. None of the patients had lesions consistent with the
dry plastic type.
Conclusion
Peritoneal tuberculosis is best described as a combination of ascites, peritoneal
lesions, and lymphadenopathy, rather than the three types from the traditional classification.
Keywords
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References
- Abdominal tuberculosis: the great mimic.Hosp Med. 2001; 62: 368-369
- Epidemiology of extrapulmonary tuberculosis. A comparative analysis with pre-AIDS era.Chest. 1991; 99: 1134-1138
- Computerized tomography findings of abdominal tuberculosis: report of 19 cases.Isr Med Assoc J. 2001; 3: 416-418
- Tuberculosis of the abdomen.Radiol Clin North Am. 1995; 33: 691-705
- Tuberculosis peritonitis; a diagnostic challenge.Abdominal Imaging. 2001; 26: 319-322
- A radiological study of abdominal tuberculosis in a Saudi population with special reference to ultrasound and computed tomography.Clin Radiol. 1993; 47: 409-414
- Still the great mimmicker: abdominal tuberculosis.AJR Am J Roentgenol. 1997; 168: 1455-1460
- Imaging of abdominal tuberculosis.Eur Radiol. 2002; 12: 312-323
- CT differentiation of tuberculous peritonitis and peritoneal carcinomatosis.AJR Am J Roentgenol. 1996; 167: 743-748
- Computed tomography in abdominal tuberculosis.Br J Radiol. 1999; 72: 92-98
- Imaging of tuberculosis. Abdominal manifestations in 112 patients.Acta Radiol. 1996; 37: 489-495
- Imaging of extrapulmonary tuberculosis.Radiographics. 2000; 20: 471-488
Article info
Publication history
Received in revised form:
September 10,
2003
Received:
September 10,
2003
Identification
Copyright
© 2004 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
