Abstract
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 nonspecific, may indicate tuberculosis in a high-risk population.
Similar content being viewed by others
References
NH Gilinsky IN Marks RE Kotler SK Price (1983) ArticleTitleAbdominal tuberculosis: a 10 year review. S Afr Med J 64 849–857 Occurrence Handle1:STN:280:BiuD2crhs1Y%3D Occurrence Handle6635879
C Lundstedt R Nyman J Brismar et al. (1995) ArticleTitleImaging of tuberculosis. II. Abdominal manifestations in 112 patients. Acta Radiol 37 489–495
RF Thoeni AR Margulis (1979) ArticleTitleGastrointestinal tuberculosis. Semin Roentgenol 14 283–294 Occurrence Handle1:STN:280:Bi%2BD3snls1U%3D Occurrence Handle386522
RK Tandon SK Sarin SL Bose et al. (1986) ArticleTitleA clinico-radiological appraisal of intestinal tuberculosis—changing profile. Gastroenterol Japon 21 17–22 Occurrence Handle1:STN:280:BimC1Mzksl0%3D
DDT Maglinte RM Antley (1985) ArticleTitleRadiology of the small bowel: Enteroclysis and the conventional follow through. Radiology 155 383–384 Occurrence Handle3983388
DDT Maglinte SM Chernish FM Kelvin et al. (1992) ArticleTitleCrohn disease of the small intestine: Accuracy and relevance of enteroclysis. Radiology 184 541–545 Occurrence Handle1:STN:280:By2A3Mbps1w%3D Occurrence Handle1620862
DJ Nolan NC Gourtsoyiannis (1980) ArticleTitleCrohn’s disease of the small intestine: a review of the radiological appearances in 100 consecutive patients examined by a barium infusion technique. Clin Radiol 31 597–603 Occurrence Handle1:STN:280:Bi6C3snmvF0%3D Occurrence Handle7471638
DDT Maglinte JC Lappas FM Kelvin et al. (1987) ArticleTitleSmall bowel radiography: how, when, and why? Radiology 163 297–305 Occurrence Handle1:STN:280:BiiC2snjvFY%3D Occurrence Handle3550876
RP Kedar PP Shah RS Shivde HM Malde (1994) ArticleTitleSonographic findings in gastrointestinal and peritoneal tuberculosis. Clin Radiol 49 24–29 Occurrence Handle1:STN:280:ByuC3s%2FltVE%3D Occurrence Handle8299328
R Jain S Sawhney DK Bhargava M Berry (1995) ArticleTitleDiagnosis of abdominal tuberculosis: Sonographic findings in patients with early disease. AJR 165 1391–1395 Occurrence Handle1:STN:280:BymD2s3mvVA%3D Occurrence Handle7484572
T Denton J Hossain (1993) ArticleTitleA radiological study of abdominal tuberculosis in a Saudi population, with special reference to ultrasound and computed tomography. Clin Radiol 47 409–414 Occurrence Handle1:STN:280:ByyB1Mbpt1M%3D Occurrence Handle8519148
DH Hulnick AJ Megibow DP Naidich et al. (1985) ArticleTitleAbdominal tuberculosis: CT evaluation. Radiology 157 199–204 Occurrence Handle1:STN:280:BiqB1MbjslA%3D Occurrence Handle4034967
O Akhan J Pringot (2002) ArticleTitleImaging of abdominal tuberculosis. Eur Radiol 12 312–323 Occurrence Handle10.1007/s003300100994 Occurrence Handle11870428
BS Lewn (1999) ArticleTitleThe history of enteroscopy. Gastrointest Endosc Clin North Am 9 1–11
G Iddan G Meron A Glukhovsky et al. (2000) ArticleTitleWireless capsule endoscopy. Nature 405 417 Occurrence Handle10.1038/35013140 Occurrence Handle1:CAS:528:DC%2BD3cXjslyms70%3D
DN Reddy PVJ Sriram GV Rao DB Reddy (2003) ArticleTitleCapsule endoscopy appearances of small bowel tuberculosis. Endoscopy 35 99 Occurrence Handle10.1055/s-2003-36415 Occurrence Handle12510241
GF Carrera S Young AM Lewicki (1976) ArticleTitleIntestinal tuberculosis. Gastrointest Radiol 1 147–155 Occurrence Handle1:STN:280:CSeB3sbotVU%3D Occurrence Handle1052456
S Chawla K Bery KJ Indra (1966) ArticleTitleEnterolithiasis complicating intestinal tuberculosis. Clin Radiol 17 274–279 Occurrence Handle1:STN:280:CCmC287osVE%3D Occurrence Handle5942776
HK Mendes Ribeiro DJ Nolan (2000) ArticleTitleEnterolithiasis in Crohn’s disease. Abdom Imaging 25 526–529 Occurrence Handle10.1007/s002610000085 Occurrence Handle1:STN:280:DC%2BD3cvpt12gug%3D%3D Occurrence Handle10931991
B Nagi A Lal R Kochhar et al. (2002) ArticleTitlePerforations and fistulae in gastrointestinal tuberculosis. Acta Radiol 43 501–506 Occurrence Handle10.1034/j.1600-0455.2002.430510.x Occurrence Handle1:STN:280:DC%2BD38nmtlejsg%3D%3D Occurrence Handle12423461
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Nagi, B., Sodhi, K., Kochhar, R. et al. Small bowel tuberculosis. Abdom Imaging 29, 335–340 (2004). https://doi.org/10.1007/s00261-003-0115-x
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00261-003-0115-x