Title: Diagnostic Value of High Resolution Sonography in the Cases of Abdominal Tuberculosis
Authors: Dr BS Salooja, Dr Sadhan Mukhi
DOI: https://dx.doi.org/10.18535/jmscr/v4i11.18
Objective: To evaluate the diagnostic value of USG in the cases of abdominal tuberculosis. Methods: This was a retrospective diagnostic study design. The study was conducted among adults aged>18 years of either gender with clinical suspected ATB. The detailed demographic and clinical history was noted on pre-designed proforma. After obtaining the history, the patient was subjected to general physical and systematic examinations. The patients were then subjected to radiological evaluation that included chest X-ray, X-ray of abdomen and USG. Results: A total of 55 clinically suspected adult cases of abdominal tuberculosis were enrolled in the study. Out of the 55 suspected cases, 45 (81.8%) were found to be abdominal tuberculosis on final diagnosis. The abdominal tuberculosis was found to be higher in the age groups 21-40 years (64.4%) and higher among female patients (62.2%). Abdominal pain (82.2%) was the most common clinical feature among the abdominal tuberculosis patients. USG dilated and bowel wall thickening was in 51.1% on USG findings. However, RIF mass was seen in 46.7% patients. Terminal ileum thickening dilatation was found in about one third of the patients (46.7%). Pulled up IC junction was observed in 28.9% patients. Conclusion: Abdominal tuberculosis is a disease with an insidious course without disease-specific clinical and laboratory signs. Employing ultrasound sign, abdominal tuberculosis should be included in differential diagnoses in regions with a high incidence of tuberculosis. Keywords: Abdominal tuberculosis, High resolution sonography, Diagnosis. 1. Sharma SK, Mohan A, Kadhiravan T. HIV-TB co-infection: Epidemiology diagnosis and management. Ind J Med Res 2005;121:550-67 2. Sharma SK, Mohan A. Extrapulmonary tuberculosis. Ind J Med Res 2004;124:316-53. 3. WHO. In: Global tuberculosis control: surveillance, planning, financing, Geneva: World Health Org 2006, 242 4. Agarwal Dipti, Narayan Shamrendra, Chakravarty Jaya & Sundar Shyam. Ultrasonography for diagnosis of abdominal tuberculosis in HIV infected people. Indian J Med Res 2010; 132: 77-80. 5. Gokhale S. High resolution ultrasono-graphy of the anterior abdominal wall. Indian J Radiol Imaging 2007;17:290-8 6. KapoorVK, Chattopadhyay TK, Sharma LK. Radiology of abdominal tuberculosis. Austral Radiol 1988; 32: 365. 7. Kedar RP, Shah PP, Shivde RS, Malde HM. Sonographic findings in gastroi-ntestinal and peritoneal tuberculosis. Clin Radiol 1994; 49: 24-9. 8. Jain R, Sawhney S, Bhargava DK, Berry M. Diagnosis of abdominal tuberculosis: sonographic findings in patients with early disease. AJR 1995; 165: 1391-5. 9. Zissin R, Gayer G, Chowers M, Shapiro-Feinberg M, Kots E, Hertz M. Computerized tomography findings of abdominal tuberculosis: report of 19 cases. Isr Med Assoc. J. 2001; 3 (6): 414-18. 10. Khan SM, Khan KM, Khan AS, Jehanzeb M, Jan WA, Khan M. Ali U. Presentation of abdominal tuberculosis in NWFP and its correlation with operative findings. J Postgrad Med Inst 2005; 19: 286-291. 11. Chalya PL, Mchembe MD, Mshana SE, Rambu PE. Jaka H, Mabula JB. Clinicipathological profile and surgical treatment of abdominal tuberculosis: a single centre experience in northwestern Tanzania. BMC Infectious Diseases 2013; 13: 270.Abstract
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