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Badea R, Chiorean L, Matei D, et al. Ileocecal, colonic, and peritoneal tuberculosis: role of imaging in diagnosis. A case report and literature review. J Med Ultrason (2001). 2013;41(1):77-82doi: 10.1007/s10396-013-0468-x.
Badea, R., Chiorean, L., Matei, D., Bodea, R., Caraiani, C., & Botan, E. (2014). Ileocecal, colonic, and peritoneal tuberculosis: role of imaging in diagnosis. A case report and literature review. Journal of medical ultrasonics (2001), 41(1), 77-82. https://doi.org/10.1007/s10396-013-0468-x
Badea, Radu, et al. "Ileocecal, colonic, and peritoneal tuberculosis: role of imaging in diagnosis. A case report and literature review." Journal of medical ultrasonics (2001) vol. 41,1 (2014): 77-82. doi: https://doi.org/10.1007/s10396-013-0468-x
Badea R, Chiorean L, Matei D, Bodea R, Caraiani C, Botan E. Ileocecal, colonic, and peritoneal tuberculosis: role of imaging in diagnosis. A case report and literature review. J Med Ultrason (2001). 2014 Jan;41(1):77-82. doi: 10.1007/s10396-013-0468-x. Epub 2013 Jul 06. PMID: 27277637.
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J Med Ultrason (2001). 2014 Jan;41(1):77-82. doi: 10.1007/s10396-013-0468-x. Epub 2013 Jul 06.

Ileocecal, colonic, and peritoneal tuberculosis: role of imaging in diagnosis. A case report and literature review.

Journal of medical ultrasonics (2001)

Radu Badea, Liliana Chiorean, Dana Matei, Raluca Bodea, Cosmin Caraiani, Emil Botan

Affiliations

  1. Department of Ultrasonography, "Octavian Fodor" Institute of Gastroenterology and Hepatology, "Iuliu Hatieganu" University of Medicine and Pharmacy, Cluj-Napoca, Romania.
  2. Department of Radiology and Computed Tomography, "Octavian Fodor" Institute of Gastroenterology and Hepatology, Str. Croitorilor 19-21, 400 162, Cluj Napoca, Romania. [email protected].
  3. Department of Gastroenterology, "Octavian Fodor" Institute of Gastroenterology and Hepatology, "Iuliu Hatieganu" University of Medicine and Pharmacy, Cluj-Napoca, Romania.
  4. Department of Surgery, "Octavian Fodor" Institute of Gastroenterology and Hepatology, Cluj-Napoca, Romania.
  5. Department of Radiology and Computed Tomography, "Octavian Fodor" Institute of Gastroenterology and Hepatology, Str. Croitorilor 19-21, 400 162, Cluj Napoca, Romania.
  6. Department of Pathology, "Octavian Fodor" Institute of Gastroenterology and Hepatology, Cluj-Napoca, Romania.

PMID: 27277637 DOI: 10.1007/s10396-013-0468-x

Abstract

Tuberculosis is a widespread infectious disease that still remains a deadly global health problem and a condition that is life-threatening if misdiagnosed. Extrapulmonary manifestations are prevalent in the endemic areas but limited to the immunocompromised and immigrants in economically developed areas. False diagnostic situations rely on non-specific investigatory findings, the wide spectrum of clinical manifestations, and problems in discriminating between inflammation and neoplasms of the bowel. For an early diagnosis, a high index of suspicion and correlation of clinical and imaging aspects, as well as findings from colonoscopy, tissue biopsy, and microbiologic assessments, are necessary. We present a case of a patient with non-specific abdominal symptoms, mimicking a clinical syndrome of neoplastic impregnation, finally diagnosed as ileal tuberculosis with peritoneal involvement. We stress the importance of ultrasonography as a primary method of investigation, having an important role in raising the suspicion of an infectious bowel disease, as well as the role of contrast-enhanced ultrasound examination.

Keywords: Computed tomography; Contrast-enhanced ultrasound; Intestinal tuberculosis

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