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Multimodal imaging of fibrosing mesenteric tuberculosis
This article presents fibrosing mesenteric tuberculosis in a 19-year-old Arab boy who presented with weight loss, fever, abdominal pain, and distension. Abdominal contrast enhanced computed tomography (CECT) was performed which showed large infiltrative ill-defined mesenteric-based enhancing soft ti...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6536619/ https://www.ncbi.nlm.nih.gov/pubmed/31193572 http://dx.doi.org/10.1016/j.radcr.2019.03.026 |
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author | Rajendran, Harikrishna Razek, Ahmed Abdel Khalek Abdel Abubacker, Shefeek |
author_facet | Rajendran, Harikrishna Razek, Ahmed Abdel Khalek Abdel Abubacker, Shefeek |
author_sort | Rajendran, Harikrishna |
collection | PubMed |
description | This article presents fibrosing mesenteric tuberculosis in a 19-year-old Arab boy who presented with weight loss, fever, abdominal pain, and distension. Abdominal contrast enhanced computed tomography (CECT) was performed which showed large infiltrative ill-defined mesenteric-based enhancing soft tissue phlegmonous mass with surrounding desmoplastic reaction causing retraction-kinking of small bowel loops associated with central necrotic mesenteric lymph nodes, multifocal small bowel wall thickening, and ascites. Abdominal tuberculosis is a diagnostic challenge particularly if pulmonary tuberculosis is absent as in this case. CT appears to be the modality of choice if clinical and epidemiological suspicion is high in order to ensure early treatment for a favorable outcome. |
format | Online Article Text |
id | pubmed-6536619 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-65366192019-05-30 Multimodal imaging of fibrosing mesenteric tuberculosis Rajendran, Harikrishna Razek, Ahmed Abdel Khalek Abdel Abubacker, Shefeek Radiol Case Rep Gastrointestinal This article presents fibrosing mesenteric tuberculosis in a 19-year-old Arab boy who presented with weight loss, fever, abdominal pain, and distension. Abdominal contrast enhanced computed tomography (CECT) was performed which showed large infiltrative ill-defined mesenteric-based enhancing soft tissue phlegmonous mass with surrounding desmoplastic reaction causing retraction-kinking of small bowel loops associated with central necrotic mesenteric lymph nodes, multifocal small bowel wall thickening, and ascites. Abdominal tuberculosis is a diagnostic challenge particularly if pulmonary tuberculosis is absent as in this case. CT appears to be the modality of choice if clinical and epidemiological suspicion is high in order to ensure early treatment for a favorable outcome. Elsevier 2019-05-23 /pmc/articles/PMC6536619/ /pubmed/31193572 http://dx.doi.org/10.1016/j.radcr.2019.03.026 Text en © 2019 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Gastrointestinal Rajendran, Harikrishna Razek, Ahmed Abdel Khalek Abdel Abubacker, Shefeek Multimodal imaging of fibrosing mesenteric tuberculosis |
title | Multimodal imaging of fibrosing mesenteric tuberculosis |
title_full | Multimodal imaging of fibrosing mesenteric tuberculosis |
title_fullStr | Multimodal imaging of fibrosing mesenteric tuberculosis |
title_full_unstemmed | Multimodal imaging of fibrosing mesenteric tuberculosis |
title_short | Multimodal imaging of fibrosing mesenteric tuberculosis |
title_sort | multimodal imaging of fibrosing mesenteric tuberculosis |
topic | Gastrointestinal |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6536619/ https://www.ncbi.nlm.nih.gov/pubmed/31193572 http://dx.doi.org/10.1016/j.radcr.2019.03.026 |
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