Abdominal Tuberculosis
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VOLUME: 14 ISSUE: 2
P: 240 - 250
August 2026

Abdominal Tuberculosis

Turk Radiol Semin 2026;14(2):240-250
1. Özel Bağlar Hastanesi, Radyoloji Kliniği, Diyarbakır, Türkiye
2. Hacettepe Üniversitesi Tıp Fakültesi, Radyoloji Anabilim Dalı, Ankara, Türkiye
No information available.
No information available
Received Date: 25.09.2025
Accepted Date: 10.02.2026
Online Date: 25.08.2026
Publish Date: 25.08.2026
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ABSTRACT

Tuberculosis (TB), caused by the bacillus Mycobacterium tuberculosis, is a significant health problem in developed and developing countries. The lung is the most commonly affected organ, while abdominal TB is the most common extrapulmonary form. Abdominal TB involves the peritoneum, mesentery, lymph nodes, gastrointestinal tract, and solid organs (e.g., liver, spleen, and pancreas) and can be transmitted hematogenously, lymphatically, or via adjacent routes. Because abdominal TB can be confused with diseases requiring aggressive surgery and chemo-radiotherapy, such as peritoneal carcinomatosis and malignant mesothelioma, a thorough understanding of clinical and imaging findings will help patients avoid these treatments and reduce morbidity and mortality.

Keywords:
Tuberculosis, abdomen, peritoneum, lymph node, liver, spleen

References

1
CDC. TB Notes Issue 3, 2024. (serial online) (cited 15 January 2025).
2
Sheer TA, Coyle WJ. Gastrointestinal tuberculosis. Curr Gastroenterol Rep. 2003; 5: 273-8.
3
Donoghue HD, Holton J. Intestinal tuberculosis. Curr Opin Infect Dis. 2009; 22: 490-6.
4
Tirumani SH, Ojili V, Gunabushanam G, Shanbhogue AK, Nagar A, Fasih N, et al. Imaging of tuberculosis of the abdominal viscera: beyond the intestines. J Clin Imaging Sci. 2013; 3: 17.
5
Padma V, Anand NN, Rajendran SM, Gurukal S. Primary tuberculosis of stomach. J Indian Med Assoc. 2012; 110: 187-8.
6
Cheng MP, Abou Chakra CN, Yansouni CP, Cnossen S, Shrier I, Menzies D, et al. Risk of active tuberculosis in patients with cancer: a systematic review and meta-analysis. Clin Infect Dis. 2017; 64: 635-44.
7
Dobler CC, Cheung K, Nguyen J, Martin A. Risk of tuberculosis in patients with solid cancers and haematological malignancies: a systematic review and meta-analysis. Eur Respir J. 2017; 50: 1700157.
8
Sharma MP, Bhatia V. Abdominal tuberculosis. Indian J Med Res. 2004; 120: 305-15.
9
Cheng W, Zhang S, Li Y, Wang J, Li J. Intestinal tuberculosis: clinico-pathological profile and the importance of a high degree of suspicion. Trop Med Int Health. 2019; 24: 81-90.
10
Marshall JB. Tuberculosis of the gastrointestinal tract and peritoneum. Am J Gastroenterol. 1993; 88: 989-99.
11
CDC. Tuberculosis Trends — United States, 2014. 2015; 64: 265-9.
12
Manohar A, Simjee AE, Haffejee AA, Pettengell KE. Symptoms and investigative findings in 145 patients with tuberculous peritonitis diagnosed by peritoneoscopy and biopsy over a five year period. Gut. 1990; 31: 1130-2.
13
Bhansali SK. Abdominal tuberculosis. Experiences with 300 cases. Am J Gastroenterol. 1977; 67: 324-37.
14
Singh MM, Bhargava AN, Jain KP. Tuberculous peritonitis. An evaluation of pathogenetic mechanisms, diagnostic procedures and therapeutic measures. N Engl J Med. 1969; 281: 1091-4.
15
Tan KK, Chen K, Sim R. The spectrum of abdominal tuberculosis in a developed country: a single institution’s experience over 7 years. J Gastrointest Surg. 2009; 13: 142-7.
16
Chen HL, Wu MS, Chang WH, Shih SC, Chi H, Bair MJ. Abdominal tuberculosis in southeastern Taiwan: 20 years of experience. J Formos Med Assoc. 2009; 108: 195-201.
17
Lazarus AA, Thilagar B. Abdominal tuberculosis. Dis Mon. 2007; 53: 32-8.
18
Sanai FM, Bzeizi KI. Systematic review: tuberculous peritonitis--presenting features, diagnostic strategies and treatment. Aliment Pharmacol Ther. 2005; 22: 685-700.
19
Vaid U, Kane GC. Tuberculous peritonitis. Microbiol Spectr. 2017; 5: 10.
20
Akhan O, Pringot J. Imaging of abdominal tuberculosis. Eur Radiol. 2002; 12: 312-23.
21
Jorge AD. Peritoneal tuberculosis. Endoscopy. 1984; 16: 10-2.
22
Demirkazik FB, Akhan O, Özmen MN, Akata D. US and CT findings in the diagnosis of tuberculous peritonitis. Acta Radiologica. 1996; 37: 517-20.
23
Akhan O, Demirkazik FB, Ozmen MN, Balkanci F, Ozkara S, Cöplü L, et al. Tuberculous pleural effusions: ultrasonic diagnosis. J Clin Ultrasound. 1992; 20: 461-5.
24
Lee DH, Lim JH, Ko YT, Yoon Y. Sonographic findings in tuberculous peritonitis of wet-ascitic type. Clin Radiol. 1991; 44: 306-10.
25
Akhan O, Demirkazik FB, Demirkazik A, Gülekon N, Eryilmaz M, Unsal M, et al. Tuberculous peritonitis: ultrasonic diagnosis. J Clin Ultrasound. 1990; 18: 711-4.
26
Mahmoud BE, Abdelzaher AA, Mohamed AA, Metwally LIA. The role of diffusion-weighted MR imaging in assessment of peritoneal lesions: radiologic-pathologic correlation. Egyptian Journal of Radiology and Nuclear Medicine. 2020; 51: 149.
27
Ha HK, Jung JI, Lee MS, Choi BG, Lee MG, Kim YH, et al. CT differentiation of tuberculous peritonitis and peritoneal carcinomatosis. AJR Am J Roentgenol. 1996; 167: 743-8.
28
Kedar RP, Shah PP, Shivde RS, Malde HM. Sonographic findings in gastrointestinal and peritoneal tuberculosis. Clin Radiol. 1994; 49: 24-9.
29
Mathieu D, Ladeb MF, Guigui B, Rousseau M, Vasile N. Periportal tuberculous adenitis: CT features. Radiology. 1986; 161: 713-5.
30
Griffith RC, Janney CG. Lymph nodes. In: Kissance JM, editor. Anderson’s pathology. 10th ed. St. Louis: Mosby; 1990. p. 1429-92.
31
Hulnick DH, Megibow AJ, Naidich DP, Hilton S, Cho KC, Balthazar EJ. Abdominal tuberculosis: CT evaluation. Radiology. 1985; 157: 199-204.
32
Lee Y, Park KS, Chung SY. Cervical tuberculous lymphadenitis: CT findings. J Comput Assist Tomogr. 1994; 18: 370-5.
33
Yang ZG, Min PQ, Sone S, He ZY, Liao ZY, Zhou XP, et al. Tuberculosis versus lymphomas in the abdominal lymph nodes: evaluation with contrast-enhanced CT. AJR Am J Roentgenol. 1999; 172: 619-23.
34
Das P, Dixit R, Prakash A, Daga MK, Singh R. Diffusion-weighted magnetic resonance imaging of abdominal tuberculosis: a new take on an old disease. Abdom Radiol (NY). 2022; 47: 3446-58.
35
Caroli-Bosc FX, Conio M, Maes B, Chevallier P, Hastier P, Delmont JP. Abdominal tuberculosis involving hepatic hilar lymph nodes. A cause of portal vein thrombosis and portal hypertension. J Clin Gastroenterol. 1997; 25: 541-3.
36
Tai WC, Kuo CM, Lee CH, Chuah SK, Huang CC, Hu TH, et al. Liver tuberculosis in Southern Taiwan: 15-years clinical experience. J Intern Med Taiwan. 2008; 19: 410-7.
37
Das CJ, Vora Z, Sharma R, Addula D, Kundra V. Tuberculosis of abdominal lymph nodes, peritoneum, and GI tract: a malignancy mimic. Abdom Radiol (NY). 2022; 47: 1775-87.
38
Karaosmanoglu AD, Onur MR, Sahani DV, Tabari A, Karcaaltincaba M. Hepatobiliary tuberculosis: imaging findings. AJR Am J Roentgenol. 2016; 207: 694-704.
39
Kawamori Y, Matsui O, Kitagawa K, Kadoya M, Takashima T, Yamahana T. Macronodular tuberculoma of the liver: CT and MR findings. AJR Am J Roentgenol. 1992; 158: 311-3.
40
Das CJ, Rednam N, Vora Z, Aggarwal A, Chandrashekhara SH, Kundra V. Abdominal visceral tuberculosis: a malignancy mimic. Abdom Radiol (NY). 2023; 48: 2705-15.
41
Yu RS, Zhang SZ, Wu JJ, Li RF. Imaging diagnosis of 12 patients with hepatic tuberculosis. World J Gastroenterol. 2004; 10: 1639-42.
42
Guo HW, Liu XQ, Cheng YL. Solitary splenic tuberculosis: a case report. World J Clin Cases. 2022; 10: 10260-5.
43
Singh B, Ramdial PK, Royeppen E, Moodley J, Chetty R. Isolated splenic tuberculosis. Trop Doct. 2005; 35: 48-9.
44
Nagar AM, Raut AA, Morani AC, Sanghvi DA, Desai CS, Thapar VB. Pancreatic tuberculosis: a clinical and imaging review of 32 cases. J Comput Assist Tomogr. 2009; 33: 136-41.
45
De Backer AI, Mortelé KJ, Bomans P, De Keulenaer BL, Vanschoubroeck IJ, Kockx MM. Tuberculosis of the pancreas: MRI features. AJR Am J Roentgenol. 2005; 184: 50-4.
46
Xu XF, Yu RS, Qiu LL, Shen J, Dong F, Chen Y. Gallbladder tuberculosis: CT findings with histopathologic correlation. Korean J Radiol. 2011; 12: 196-202.
47
Inal M, Aksungur E, Akgül E, Demirbaş O, Oğuz M, Erkoçak E. Biliary tuberculosis mimicking cholangiocarcinoma: treatment with metallic biliary endoprothesis. Am J Gastroenterol. 2000; 95: 1069-71.
48
Wenzel JS, Donohoe A, Ford KL 3rd, Glastad K, Watkins D, Molmenti E. Primary biliary cirrhosis: MR imaging findings and description of MR imaging periportal halo sign. AJR Am J Roentgenol. 2001; 176: 885-9.