Small bowel tuberculosis: enteroclysis findings

We describe the radiologic appearances of small bowel tuberculosis as shown by enteroclysis. A total of 265 patients with proven small bowel tuberculosis seen over a period of more than one decade was evaluated. All patients had positive radiologic findings as shown on enteroclysis examination. Of t...

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Bibliographic Details
Published in:Abdominal imaging 2004-05, Vol.29 (3), p.335-340
Main Authors: NAGI, B, SODHI, K. S, KOCHHAR, R, BHASIN, D. K, SINGH, K
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Aged, 80 and over
Bacterial diseases
Barium Sulfate
Biological and medical sciences
Contrast Media
Diagnosis, Differential
Female
Gastroenterology. Liver. Pancreas. Abdomen
Human bacterial diseases
Humans
Infectious diseases
Investigative techniques, diagnostic techniques (general aspects)
Male
Medical sciences
Middle Aged
Nephrology. Urinary tract diseases
Radiography
Tuberculosis and atypical mycobacterial infections
Tuberculosis, Gastrointestinal - diagnostic imaging
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Summary:We describe the radiologic appearances of small bowel tuberculosis as shown by enteroclysis. A total of 265 patients with proven small bowel tuberculosis seen over a period of more than one decade was evaluated. All patients had positive radiologic findings as shown on enteroclysis examination. Of the 265 patients with small bowel tuberculosis, 174 had isolated small bowel involvement with a normal ileocecal region, whereas 91 had associated noncontiguous involvement of the ileocecal region. The most common radiologic finding was the presence of strictures, noted in 62.7% of cases. Most strictures were short, concentric, and smooth in outline. These strictures were solitary or multiple and located mainly in the jejunum. Other radiologic findings were adhesions (21.8%), ulcerations (9.1%), and diffuse thickening of folds (6.4%). Complications noted were in the form of enteroliths, perforations, and fistulae. The radiographic findings of small bowel tuberculosis, although non-specific, may indicate tuberculosis in a high-risk population.
ISSN:0942-8925
1432-0509
DOI:10.1007/s00261-003-0115-x