[Imaging diagnosis for abdominal tuberculous lymphadenopathy].
OBJECTIVE
To evaluate the value of X-ray imaging for diagnosing abdominal tuberculous lymphadenopathy.


METHODS
27 cases of tuberculous lymphadenopathy proved by clinical or pathohistological evidence were collected, all of which were examined with radiological imaging methods.


RESULTS
The typical CT findings enlarged lymph nodes with peripheral or multilocular enhancement. Enlarged lymph nodes with multiple flecked or massive calcifications were important for diagnosis. Ultrasound examination showed enlarged lymph nodes with uniform echo (less than 2 cm) and with heterogeneous echo (larger than 2 cm). The aim of the barium meal examination of the gastrointestinal tract was to find tuberculous lymphadenopathy encroaching on intestine or merged with intestinal tuberculosis. Abdominal X-ray plain film was helpful to find the calcified tuberculous lymphadenopathy and intestinal obstruction.


CONCLUSIONS
Various imaging methods have shown their diagnostic value, but CT was the most important tool for definite diagnosis of tuberculous lymphadenopathy. Ultrasound was more useful for follow-up cases.
Yu
R
R
Department of Radiology, Second Affiliated Hospital, Medical School of Zhejiang University, Hangzhou 310009, China.
Yin
J
J
Wei
F
F
D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008206:Lymphatic Diseases / Q000000981:diagnostic imaging*; D008297:Male; D008875:Middle Aged; D011859:Radiography; D014388:Tuberculosis, Lymph Node / Q000000981:diagnostic imaging*