USG Abdomen Findings in Superficial TB Lymphadenitis

Title: USG Abdomen Findings in Superficial TB Lymphadenitis

Author: Dr Deepali R Gaikwad. DNB (Resp Diseases), DTCD

DOI: https://dx.doi.org/10.18535/jmscr/v5i5.18

Abstract

Objective: To evaluate association of abnormal findings on ultrasonography of abdomen and pelvis in confirmed cases of tuberculous lymphadenitis at Bhausaheb Sardesai Talegaon Rural Hospital (BSTRH), attached with M.I.M.E.R. Medical college, Talegaon Dabhade, Maharashtra.

Methods: This study was done at Bhausaheb Sardesai Rural Hospital attached to MIMER Medical College at Talegaon Dabhade, Maharshtra. Ultrasonography of abdomen and pelvis was done in all patients diagnosed of tuberculous lymphadenitis. The diagnosis of tuberculous lymphadenitis was confirmed mainly on fine needle aspiration cytology.

Results: Of 70 cases of tuberculous lymphadenitis, USG abdomen and pelvis was normal in 50 cases (71.42%), while abnormal 20 cases (28.57%). Mesenteric lymphnodes with or without pre and paraaortic group of lymphnode enlargement was seen in 11 (15.71%) cases, one case of multiple cervical tuberculous lymphadenitis showed enlarged lymphnodes at porta hepatis and peripancreatic area (1.42%) , in 3 (4.28%) cases spleenomegaly with multiple hypoechoic foci associated with mesenteric lymphnodes was seen; two (2.9%) out of three were of cervical tuberculous lymphadenitis and one (1.42%) was case of inguinal lymphadenitis. One case (1.42%) of cervical lymphnode showed iliac and femoral group of lymphnode enlarged, one case (1.42%) revealed thickening of terminal ilium wall. one case (1.42%) of inguinal lymphadenitis showed psoas abscess. One (1.42%) case of cervical lymphadenitis showed free fluid in abdomen and one case (1.42%) of right supraclvicular lymphadenitis revealed fluid in cul de sac.

Conclusion: All patients of confirmed tuberculous lymphadenitis should be subjected for ultrasonography of abdomen and pelvis considering lymphnode presentation as local manifestation of systemic or disseminated form of tuberculosis.

Keywords: Tuberculous lymphadenitis, USG abdomen, FNAC.

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