Abstract
In the past decade, two distinct patterns of intra-abdominal tuberculosis (TB) have emerged. First, the classical disease, affecting the peritoneum, gastrointestinal tract, lymphatic system and solid organs and, second, the disease as an acquired immunodeficiency syndrome (AIDS)-related condition. AIDS-related abdominal TB has a different pattern of symptoms, signs and pathology and is dealt with in a later chapter. In the years 1963–1986, 132 cases of peritoneal TB were reported in the USA, out of a total of 3942 records of extrapulmonary disease [1]. Of these, 71.2% of the 3942 cases fell amongst the racial minorities and the foreign born. In some studies, peritoneal TB occurred as a complicating illness in those patients already known to have hepatic cirrhosis or alcohol addiction [2,3].
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Rieder HL, Snider DE, Cauthen GM (1990) Extrapulmonary tuberculosis in the United States. Am Rev Respir Dis 141: 347–351
Alvarez S, McCabe WR (1984) Extrapulmonary tuberculosis revisited: a reveiw of experience at Boston City and other hospitals. Medicine 63: 25–55
Probert CSJ, Jayanthi V, Wicks AC, et al. (1992) Epidemilogical study of abdominal tuberculosis among Indian migrants and the indigenous population of Leicester, 1972–1989. Gut 33: 1085–1088
Klimach OE, Ormerod LP (1985) Gastrointestinal tuberculosis: a retrospective review of 109 cases in a district general hospital. QJM 56: 569–578
Palmer KR, Patil DH, Basran GS, et al. (1985) Abdominal tuberculosis in urban Britain: a common disease. Gut 26: 1296–1305
Sharp JF, Goldman M (1987) Abdominal tuberculosis in East Birmingham: a 16-year study. Postgrad Med J 63: 539–542
Jakubowski A, Elwood RK, Enarson DA (1988) Clinical features of abdominal tuberculosis. J Infect Dis 158: 687–692
Reddy KR, Di Prima RE, Raskin JB, et al. (1988) Tuberculous peritonitis: laparoscopic diagnosis of an uncommon disease in the United States. Gastrointest Endosc 34: 422–426
Guth A, Kim U (1991) The reappearance of abdominal tuberculosis. Surg Gynecol Obstet 172: 432–436
Bhargava DK, Shriniwas, Chopra P, et al. (1992) Peritoneal tuberculosis: laparoscopic patterns and its diagnostic accuracy. Am J Gastroenterol 87: 109–112
Ramaiya LI, Walter DF (1993) Sonographic features of tuberculous peritonitis. Abdom Imaging 18: 23–26
Kedar RP, Shah PP, Shivde RS, Malde HM (1994) Sonographic findings in gastrointestinal and peritoneal tuberculosis. Clin Radiol 49: 24–29
Jain R, Sawhney S, Bhargava DK, Berry M (1995) Diagnosis of abdominal tuberculosis: sonographic findings in patients with early disease. AJR Am J Roentgenol 165: 1391–1395
Bastani B, Shariatzadeh MR, Dehdashti F (1985) Tuberculous peritonitis; report of 30 cases and a review of the literature. QJM 56: 549–557
Ozkan K, Gurses N, Gurses N (1987) Ultrasonic appearance of tuberculous peritonitis. J Clin Ultrasound 15: 350–352
Al Hadeedi S,Walia HS, Al Sayer HM (1990) Abdominal tuberculosis. Can J Surg 33: 233–237
Denton T, Hossain J (1993) Radiological study of abdominal tuberculosis in a Saudi population, with special reference to ultrasound and computed tomography. Clin Radiol 47: 409–414
Al Quorain AA, Satti MB, Al Freihi HM, et al. (1993) Abdominal tuberculosis in Saudi Arabia: a clinicopathological study of 65 cases. Am J Gastroenterol 88: 75–79
Sheikh M, Abu-Zidan F, Al Hilaly M, Benbehani A (1995) Abdominal tuberculosis: comparison of sonography and computed tonography. J Clin Ultrasound 23: 413–417
Al Karawi MA, Mohamed AE, Yasawy MI, et al. (1995) Protean manifestation of gastrointestinal tuberculosis: Report of 130 patients. J Clin Gastroenterol 20: 225–232
Lundstedt C, NymanR, Brismar J, et al. (1996) Imaging of tuberculosis II: abdominal manifestations in 112 patients. Acta Radiol 37: 489–495
Demirkazik FB, Akhan O, Ozmen MN, Akata D (1996) US and CT findings in the diagnosis of tuberculous peritonitis. Acta Radiol 37: 517–520
Lee DH, Lim JH, Ko YT, Yoon Y (1991) Sonographic findings in tuberculous peritonitis of the wetascitic type. Clin Radiol 44: 306–310
Epstein BM, Mann JH (1982) CT of abdominal tuberculosis. AJR Am J Roentgenol 139: 861–866
Manohar A, Simjee AE, Haffejee AA, Pettengell KE (1990) Symptoms and investigative findings in 145 patients with tuberculous peritonitis diagnosed by peritoneoscopy and biopsy over a five year period. Gut 31: 1130–1132
Pettengell KE, Larsen C, Garb M, et al. (1990) Gastrointestinal tuberculosis in patients with pulmonary tuberculosis. QJM 74: 303–308
Zirinsky K, Auh YH, Kneeland JB, et al. (1985) Computed tomography, sonography and MR imaging of abdominal tuberculosis. J Comput Assist Tomogr 9: 961–963
Dahlene DH, Stanley RJ, Koehler RE, et al. (1984) Abdominal tuberculosis: CT findings. J Comput Assist Tomogr 8: 443–445
Hulnick DH, Megibow AJ, Naidich DP, et al. (1985) Abdominal tuberculosis: CT evaluation. Radiology 157: 199–204
Bankier AA, Fleischmann D, Wiesmayr MN, et al. (1995) Update: abdominal tuberculosis-unusual findings on CT. Clin Radiol 50: 223–228
Makanjuola D, Orainy I, Al Rashid R (1998) Radiological evaluation of complications of intestinal tuberculosis. Eur J Radiol 26: 261–268
Bhansali SK (1977) Abdominal tuberculosis. Am J Gastroenterol 67: 324–337
Marshall JB (1993) Tuberculosis of the gastrointestinal tract and peritoneum. Am J Gastroenterol 88: 989–999
Leder RA, Low VHS (1995) Tuberculosis of the abdomen. Radiol Clin North Am 33: 698–705
Balthazar EJ, Gordon R, Hulnick D (1990) Ileocecal tuberculosis: CT and radiological evaluation. AJR Am J Roentgenol 154: 499–503
Anand BS, Nanda R, Sachdev GK (1988) Response of tuberculous stricture to antituberculous treatment. Gut 29: 62–69
Paustian FF, Marshall JB (1985) Intestinal tuberculosis. In: Berk JE (eds) Bockus gastroenterology, 4th edn. WB Saunders, Philadelphia, pp 120, 2018–2036
Singh MN, Bhargava AN, Jain KP (1969) Tuberculous peritonitis: an evaluation of pathogenic mechanisms, diagnostic proceedures and therapeutic measures. N Engl J Med 281: 1091–1094
Pombo F, Rodriguez E, Mato J, et al. (1992) Patterns of enhancement of tuberculous lymph nodes demonstrated by computed tomography. Clin Radiol 46: 13–17
Rodriguez E, Pombo F (1996) Peritoneal tuberculosis versus peritoneal carcinomatosis: distinction based on CT findings. J Comput Assist Tomogr 20: 269–272
Cheng IKP, Chan PCK, Chan MK (1989) Tuberculous peritonitis complicating longterm peritoneal dialysis. Am J Nephrol 9: 155–161
Voigt MD, Kalvaria I, Trey C, et al. (1989) Diagnostic value of ascites adenosine deaminase in tuberculous peritonitis. Lancet 1: 751–754
Reeder MM, Palmer PES (1989) Inflammatory diseases. In: Margulis AR, Burhenne HJ (eds) Alimentary tract radiology. Mosby, St. Louis, pp 797–798
Eisenberg RL (1983) Coned caecum. In: Gastrointestinal radiology. Lippincott, Philadelphia, pp 584–594
Hanson RD, Hunter TB (1985) Tuberculous peritonitis: CT appearance. AJR Am J Roentgenol 144: 931–932
Brown JH, Berman JJ, Blickman JG, Chew FS (1993) Primary ileocecal tuberculosis. AJR Am J Roentgenol 160: 278
Shah S, Thomas V, Mathan M, et al. (1992) Colonoscopic study of 50 patients with colonic tuberculosis. Gut 33: 347–351
Healy JC, Gorman S, Kumar PJ (1992) Case report: tuberculous colitis mimicking Crohn’s disease. Clin Radiol 46: 131–132
Downey DB, Nakielny RA (1985) Aphthoid ulcers in colonic tuberculosis. Br J Radiol 581:561–562
Collins MA, Peh WCG, Evans NS (1992) Aphthous ulcers in salmonella colitis. AJR Am J Roentgenol 158: 918
Peh WCG (1988) Filiform polyposis in tuberculosis of the colon. Clin Radiol 39: 534–536
Bhargava DK, Tandon HD, Chawla TC (1985) Diagnosis of ileocaecal and colonic tuberculosis by colonoscopy. Gastrointest Endosc 31: 68–70
De Silva R, Stoopack PM, Raufman J-P (1990) Esophageal fistulas associated with mycobacterial infection in patients at high risk for AIDS. Radiology 175: 449–453
Tromba JL, Inglese R, Rieders B, TodaroR (1991) Primary gastric tuberculosis presenting as pyloric outlet obstruction. Am J Gastroenterol 86: 1820–1822
McNamara M, Williams CE, Brown TS, Gopichadran TD (1987) Tuberculosis affecting the oesophagus. Clin Radiol 38: 419–422
Chase RA, Haber MH, Pottage JC, et al. (1986) Tuberculous esophagitis with erosion into aortic aneurysm. Arch Pathol Lab Med 110: 965–966
Savage PE, Grundy A (1984) Oesophageal tuberculosis: an unusual cause of dysphagia. Br J Radiol 57: 1153–1155
Young TH, Hsieh JP, Chao YC, et al. (1996) Esophageal tuberculosis with supraclavicular lymph node involvement demonstrated by Ga-67 imaging. Clin Nucl Med 21: 344
Gordon A, Marshall JB (1990) Esophageal tuberculosis: definitive diagnosis by endoscopy. Am J Gastroenterol 85: 174–177
Gupta SK, Jaain AK,Agrawal AK, Berry K (1988) Duodenal tuberculosis. Clin Radiol 39: 159–161
Misra D, Rai RR, Nundy S, et al. (1988) Duodenal tuberculosis presenting as bleeding peptic ulcer. Am J Gastroenterol 83: 203–204
Nair KV, Pai CG, Rajagopal KP, et al. (1991) Unusual prentations of duodenal tuberculosis. Am J Gastroenterol 86: 756–760
Desmond JM, Evans SE, Couch A, et al. (1989) Pyeloduodenal fistula: a report of two cases and a review of the literature. Clin Radiol 40: 267–270
Edie DGA, Pollack DS (1968) A complicated aortoduodenal fistula. Br J Surg 53: 314–317
Singh MK, Arunbh, Kapoor VK (1987) Tuberculosis of the appendix–a report of 17 cases and a suggested aetiopathological classification. Postgrad Med J 63: 855–857
Snider DE, Roper WL (1992) The new tuberculosis. N Engl J Med 326: 703–705
Levine C (1990) Primary macronodular hepatic tuberculosis. Gastrointest Radiol 15: 307–309
Wilde CC, Kueh YK (1991) Tuberculous hepatic and splenic abcess. Clin Radiol 43: 215–216
Brauner M, Buffard MD, Jeantils V, et al. (1989) Sonography and computed tomography of macroscopic tuberculosis of the liver. J Clin Ultrasound 17: 563–568
Kapoor R, Jain AK, Chaturvedi U, Saha MM (1991) Case report: ultrasound detection of tuberculomas of the spleen. Clin Radiol 43: 128–129
Argawala S, Bhatnagar V, Mitra DK, et al. (1992) Primary tubercular abscess of the spleen. J Pediatr Surg 27: 1580–1581
Kawamori Y, Matsui O, Kitagawa K, et al. (1992) Macronodular tuberculoma of the liver: CT and MR findings. AJR Am Roentgenol 158:311–313
Malde HM, Chadha D (1991) The “cluster” sign in macronodular hepatic tuberculosis: CT features. J Comput Assist Tomogr 17:159–161
Satti MB, Al Freihi H, Ibrahim H, et al. (1990) Hepatic granuloma in Saudi Arabia: a clinicopathological study of 59 cases. Am J Gastroenterol 85: 669–674
Moscovic E (1990) Macronodular hepatic tuberculosis in a child: computed tomographic appearances. Br J Radiol 63: 656–658
Jeffrey RB, Tolentino CS, Chang FC, Federle MP (1988) CT of small pyogenic hepatic abscesses: the cluster sign. AJR Am J Roentgenol 151: 487–489
Hahn PF, Stark DD, Saini S, et al. (1990) The differential diagnosis of ringed hepatic lesions in MR imaging. AJR Am J Roentgenol 154:287–290
Mathieu D, Vasile N, Fagniez P-L, et al. (1985) Dynamic CT features of hepatic abscesses. Radiology 154: 749–752
Vasquez T, Evans DG, Schiffman H, Ashburn WL (1987) Fungal splenic abscesses in the immunosuppressed patient correlation of imaging modalities. Clin Nucl Med 12: 36–38
Lozano F, Gomez-Mateos J, Lopez-Cortes L, Garcia-Bragado F (1991) Tuberculous splenic abscesses in patients with the acquired immune deficiency syndrome. Tubercle 72: 307–308
Wolff MJ, Bitran J, Northland RG, Levy IL (1991) Splenic abscesses due to M. Tuberculosis in patients with AIDS. Rev Inf Dis 13: 373–375
Pedro-Botet J, Maristany MT, Miralles R (1991) Splenic tuberculosis in patients with AIDS. Rev Infect Dis 13: 1069–1071
Ohta H, Fufuyama T, Sakamoto M, et al. (1996) Liver tuberculoma detected by Ga-67 imaging. Clin Nucl Med 21: 575–576
Kao P-F, Tzen K-Y, Chou Y-H, et al. (1996) Accumulation of Ga-67 citrate in a tuberculous splenic abscess. Clin Nucl Med 21: 49–52
Yang S-O, Lee YI, Chung DH, et al. (1992) Detection of extrapulmonary tuberculosis with gallium-67 scan and computed tomography. J Nucl Med 33: 2118–2123
Cho KC, Lucak SL, Delany HM, et al. (1990) CT appearance intuberculous pancreatic abscess. J Comput Assist Tomogr 14:152–154
Stambler JB, Klibaner MI, Bliss CM, Lamont JT (1982) Tuberculous abscess of the pancreas. Gastroenterology 83: 922–925
Radin DR (1991) Intra-abdominal Mycobacterium tuberculosis vs Mycobacterium aviumintracollulare infections in patients with AIDS. AJR Am J Roentgenol 156: 487–491
Crowson MC, Perry M, Burden E (1984) Tuberculosis of the pancreas: a rare cause of obstructive jaundice. Br J Surg 71: 239
de Miguel F, Beitran J, Sabas JA, et al. (1985) Tuberculous pancreatic abscess. Br J Surg 72: 438
del Castillo CF, Gonzalez-Ojeda A, Reyes E, et al. (1990) Tuberculosis of the pancreas. Pancreas 5: 693–696
Morris DL, Wilkinson LS, Al Mokhtar N (1993) Emphysematous tuberculous pancreatitis diagnosed by ultrasound and computed tomography. Clin Radiol 48: 286–287
Lepke RA, Paganii JJ (1982) Pancraetic Castelman disease simulating pancreatic carcinoma on computed tomography. J Comput Assist Tomogr 6: 1193–1195
Boudghene FP, Deslandes PM, LeBlanche AF, Bigot JMR (1994) US and CT imaging features of intrapancreatic metastases. J Comput Assist Tomogr 18: 905–910
Jain R, Sawhney S, Bhargava D, Berry M (1995) Gallbladder tuberculosis: sonographic appearance. J Clin Ultrasound 23: 327–329
Alvarez SZ, Sollano JD (1998) ERCP in hepatobiliary tuberculosis. Gastrointest Endosc 47: 100–104
Mathieu D, Ladeb MF, Guigui B, et al. (1986) Periportal tuberculous adenitis: CT features. Radiology 161: 713–715
Lee Y, Park KS, Chung SY (1994) Cervical tuberculous lymphadenitis: CT findings. J Comput Assist Tomogr 18: 370–375
Reede DL, Bergeron RT (1985) Cervical tuberculous adenitis: CT manifestations. Radiology 154: 701–704
Jeffrey RB, Nyberg DN, Bottlesn K (1986) Abdominal CT in acquired immunodeficiency syndrome. AJR Am J Roentgenol 146: 7–13
Scatarige JC, Fishman EK, Kuhajda FP, et al. (1983) Low attenuation nodal metastases in testicular carcinoma. J Comput Assist Tomogr 7: 682–687
Oliver TW, Bernardino ME, Sones PJ (1983) Monitoring the response of lymphoma patients to therapy. Correlation of abdominal CT findings with clinical course and histological cell type. Radiology 149: 219–214
Deutch SJ, Sandler MA, Alpern MB (1987) Abdominal lymphadenopathy in benign disease: CT detection. Radiology 163: 335–338
Ferreiros J, Gomez-Leon N, Mata MI, et al. (1989) Computed tomography in abdominal Castelman’s disease. J Comput Assist Tomogr 13: 433–436
Banerjee AK, Coltart DJ (1990) Abdominal tuberculosis mimicking lymphoma in a patient with sickle cell anaemia. Br J Clin Pract 44: 660–661
Author information
Authors and Affiliations
Rights and permissions
Copyright information
© 2000 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
McGuinness, F.E. (2000). Tuberculosis of the Gastrointestinal Tract and Peritoneum. In: Clinical Imaging in Non-Pulmonary Tuberculosis. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-59635-3_6
Download citation
DOI: https://doi.org/10.1007/978-3-642-59635-3_6
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-64061-2
Online ISBN: 978-3-642-59635-3
eBook Packages: Springer Book Archive