Bhatt Shuchi, Roy Satarupa, Bhardwaj Naveen, Tandon Anupama, Singh Vikas Kumar, Jain Bhupender Kumar, Mandal Samrat
Department of Radio-diagnosis, University College of Medical Sciences (University of Delhi) and Guru Teg Bahadur (GTB) Hospital, Delhi, India.
Department of Radiology, SGT Medical College, Hospital and Research Institute, Gurgaon, India.
Pol J Radiol. 2017 Dec 15;82:783-791. doi: 10.12659/PJR.903473. eCollection 2017.
Gastrointestinal tuberculosis (GI TB) is an important manifestation of abdominal tuberculosis (TB), an extra-pulmonary form of the disease. GI TB commonly affects the small bowel but is difficult to diagnose due to the challenge of evaluating the entire length of overlapping small bowel loops with traditional diagnostic methods like Barium meal follow through, abdominal computed tomography (CT), and endoscopy. New techniques of CT/MR enteroclysis/enterography are now available which specifically image the small bowel. MDCT enterography (MDCTE) is a non-invasive, simple to perform, modified abdominal CT imaging technique permitting reasonably accurate evaluation of the small bowel lumen, wall, perienteric tissues, and solid organs within the abdomen. As GI TB can cause morphological alterations in and around the small bowel, MDCTE seems to be an attractive modality for patients suspected of abdominal or GI TB. As scarce literature is available on MDCTE on tuberculosis, we present a pictorial review on MDCTE findings in patients with GI tuberculosis proved on FNAC and clinical and/or imaging follow-up.
胃肠道结核(GI TB)是腹部结核(TB)的一种重要表现形式,属于肺外结核。GI TB通常累及小肠,但由于使用传统诊断方法(如钡餐造影、腹部计算机断层扫描(CT)和内镜检查)评估重叠小肠袢的全长具有挑战性,因此难以诊断。目前有CT/MR小肠灌肠造影/小肠造影等新技术,可专门对小肠进行成像。多层螺旋CT小肠造影(MDCTE)是一种无创、操作简单的改良腹部CT成像技术,能够对小肠管腔、肠壁、肠周组织以及腹部实质器官进行较为准确的评估。由于GI TB可导致小肠及其周围出现形态学改变,MDCTE似乎是疑似腹部或GI TB患者的一种有吸引力的检查方式。鉴于关于MDCTE在结核病方面的文献较少,我们对经细针穿刺抽吸活检(FNAC)以及临床和/或影像学随访证实的GI结核患者的MDCTE表现进行了图文综述。