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Multidetector CT findings of histopathologically proven peritoneal tuberculous cold abscesses

Authors
 Jae-Joon Chung  ;  Jeong Min Choi  ;  Eun-Suk Cho  ;  Joo Hee Kim  ;  Jeong-Sik Yu 
Citation
 RADIOLOGIA MEDICA, Vol.122(4) : 248-256, 2017 
Journal Title
RADIOLOGIA MEDICA
ISSN
 0033-8362 
Issue Date
2017
MeSH
Abscess/diagnostic imaging* ; Abscess/microbiology* ; Adolescent ; Adult ; Aged ; Female ; Humans ; Male ; Middle Aged ; Peritonitis, Tuberculous/diagnostic imaging* ; Polymerase Chain Reaction ; Retrospective Studies ; Tomography, X-Ray Computed/methods*
Keywords
Abdominal abscess ; Multidetector computed tomography ; Mycobacterium tuberculosis ; Peritonitis ; Tuberculous
Abstract
PURPOSE: To evaluate the characteristic multidetector CT findings of peritoneal tuberculous (TB) cold abscesses.

PATIENTS AND METHODS: The morphological characteristics of 48 peritoneal TB cold abscesses in 29 patients (male:female = 13:16; age range 16-75 years) were retrospectively evaluated. TB infection was histologically proven by acid fast bacilli (AFB) smear or culture, TB-polymerase chain reaction (PCR), or histopathological specimen diagnosis.

RESULTS: Seventeen abscesses (35.4%) were present in the right perihepatic space, 10 (20.8%) in the left subphrenic space, 6 (12.5%) in the right subphrenic space, 4 (8.3%) in the pelvic cavity, 3 (6.3%) in the left perihepatic space, 3 (6.3%) in the right lower quadrant, and so on. The abscess contents ranged from 10.4 to 61.4 Hounsfield units. Internal septa (64.6%), central necrotic lymphadenopathy (55.2%), and TB coinfections in other organs (65.5%) were observed. TB infection was histopathologically confirmed from the surgical specimens in 17 patients and other 4 patients revealed the positive TB-PCR results from the peritoneal fluid. Ten patients (34.5%) had a recent history of TB peritonitis with ascites.

CONCLUSION: Peritoneal TB cold abscesses were commonly found in the right perihepatic and subphrenic spaces and revealed higher density of internal content, frequent internal septa, central necrotic lymphadenopathy, and high TB coinfections in other organs.
Full Text
https://link.springer.com/article/10.1007%2Fs11547-017-0726-x
DOI
10.1007/s11547-017-0726-x
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Joo Hee(김주희) ORCID logo https://orcid.org/0000-0001-5383-3602
Yu, Jeong Sik(유정식) ORCID logo https://orcid.org/0000-0002-8171-5838
Chung, Jae Joon(정재준) ORCID logo https://orcid.org/0000-0002-7447-1193
Cho, Eun Suk(조은석)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/161049
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