Only 15 % of patients with abdominal TB have pulmonary disease !!!!
USG: fine, multiple ,complete or incomplete, mobile strands of fibrin and debris in ascitis
Mesentric and omental thickening and masses, matted bowel loops and occasionaly ascites.
CT- ascites with omental thickening and spread out bowel loops BMFT- mildly dilated sbl with increase interlood distance in tb paritonitis
Large volume of high density ascitic fluid (*). It is also visible pronounced peritoneal and mesenteric thickening and enhancement (arrows).
Mesenteric thickening, with loss of normal mesenteric architecture and increased vascularity (arrows). Thickened mesentery also shows contrast enhancement. Small volume of ascites in the left parietocolic gutter is also visible in this section (*).
Multiple mesenteric lymphadenopathy forming a conglomerate mass (arrows) Most enlarged nodes have central hypoenhancing areas due to necrosis.
Stricture in the middle third of the esophagus with multiple diverticula
Barium swallow- oesophageal stricture with ulceration and periesophageal leak ct- concentric mural thickening oesophageal wall thick.. Mediatianl lap
Barium meal- Marked narrowing of the body of stomach due to TB
Accelerated intestinal transit
Disturbances in tone and peristaltic contractions : hypersegmentation of barium column (chicken intestine )
Ulcerations
Fig :Barium MFT: Early TB with mucosal irregularity and spiculation
Enteroclysis- multiple stricture segments with dilated sb loops
BMFT- Fixed matted and dilated small bowel loops with mucosal thicceking
Thickening of the ileocaecal valve lips and/or wide gaping of the valve, with narrowing of the terminal ileum
Inverted umbrella sign
Ileocecal tuberculosis. Barium meal follow through showing severe narrowing of ileocecal junction (block arrow), contracted cecum
(arrow), and adjacent ascending colon (arrow head
Axial (A) and coronal (B) CT enterography images of ileocecal tuberculosis showing gross thickening of ileocecal valve (arrow) and thickening and contraction of cecum
(arrow head) with pericecal fat stranding. Terminal ileum (TI) is dilated
Caecum becomes conical, shrunken, retracted out of the illiac fossa due to contraction of the mesocolon
Conical and shrunken cecum, widely open ileocecal valves, narrowing terminal ileum, rapid emptying of diseased segment
Represents acute inflammation superimposed on a chronically involved segment of the ileum, caecum or ascending colon
Persistent narrow stream of barium in the distal ileum
MR enterography of intestinal TB. (A) Axial T2-weighted image showing thickening of ileocecal junction and cecum (arrow).
(B) Coronal contrast enhanced T1-weighted image showing thickening and enhancement of ileocecal junction (arrow)
with thickened wall of cecum (arrow head).
(C) Axial contrast enhanced T1-weighted image showing multiple necrotic mesenteric nodes (arrow
Computed tomography enterography image showing multiple
short segment strictures (arrows) in proximal and midileal loops with
mild proximal dilatation. The findings are nonspecific and may be seen
in both intestinal tuberculosis and Crohn’s disease
Double contrast barium enema showing stricture in mi transverse colon
Usg: small irregular hypoechoic nodule in liver-disseminated kochs CT: Liver and spleen shows multiple small pinpointhypodense lesion with ascites—Miliary TB
CT shows multiple calcified granulomas within the liver, spleen, periportal and peripancreatic lymph nodes.
CECT : focal attenuated mass with peripheral enhancement
USG : hypoechoic lesion
MRCP : pancreatic head mass compressing on CBD
CT: Small hypodense nodules, one showing a speck ofcalcification in region of head and proximal body of pancreas—TB
