Pediatric Gastrointestinal Tuberculosis

  • Etiology: Mycobacterium tuberculosis
  • Imaging:
    — Abdominal lymphadenopathy which can be calcified
    — Abscesses in liver and spleen
    — Ascites
    — Thickening of the wall of the terminal ileum leading to luminal narrowing of the terminal ileum
  • DDX: Crohn disease
  • Complications:
  • Treatment:
  • Clinical:

Radiology Cases of Gastrointestinal Tuberculosis

Radiology Cases of Gastrointestinal Tuberculosis Affecting Abdominal Lymph Nodes

AXR of gastrointestinal tuberculosis
AXR AP shows multiple scattered punctate calcifications just to the right of the L3 and L4 vertebral bodies. A dilated loop of distal small bowel is seen in the left lower quadrant.

Radiology Cases of Gastrointestinal Tuberculosis Affecting the Terminal Ileum

Small bowel follow through of gastrointestinal tuberculosis of the terminal ileum
AP image from late in a small bowel follow through exam shows contrast exiting the small bowel and beginning to fill the cecum and ascending colon. The terminal ileum in the right lower quadrant is narrowed with only a thin string of contrast within it. The cecal pole is also somewhat narrowed in appearance.