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E2106. Abdominal TB: A Pictorial Essay
Authors
  1. Fahimul Huda; Boston Medical Center
  2. Christina LeBedis; Boston Medical Center
  3. Stephan Anderson; Boston Medical Center
  4. Sachin Khanduri; Era's Lucknow Medical College and Hospital
  5. Avneesh Gupta; Boston Medical Center
Background
TB is a global health problem and a re-emerging disease in the West principally as a consequence of the rising number of immunocompromised states. The radiological diagnosis of abdominal TB is challenging as it can have varied presentations. The aim of this image-centric educational exhibit is to discuss the various types of abdominal TB along with its imaging differentials.

Educational Goals / Teaching Points
Educational Goals: Image centric illustration of the various forms of abdominal TB : Peritoneal (wet/dry/fibrotic mixed), TB lymphadenitis, Gastrointestinal TB, Visceral TB Discussion on imaging differentials associated with each subtype of abdominal TB. Approach to radiological diagnosis of abdominal TB in the appropriate patient population. Teaching Points: Illustrate the various forms of abdominal tuberculosis (TB) with multiple CT and ultrasound images showing characteristic imaging findings. Discuss the key imaging features of abdominal tuberculosis Differential diagnosis for abdominal tuberculosis

Key Anatomic/Physiologic Issues and Imaging Findings/Techniques
Spectrum of findings in abdominal tuberculosis on Computerized Tomography and Ultrasonography

Conclusion
Diagnosing abdominal tuberculosis remains a great challenge even for experienced clinicians owing to its unusual presentation. A high index of suspicion is needed to arrive at a diagnosis, and, despite the fact of being defined only by means of biopsy and specimens culture, it is important that the radiologist recognizes the various imaging findings, allowing a more effective strategy to confirm the diagnosis and proceed with the appropriate treatment.