IMAGING FINDING

combination of diagnostic modalities such as cross-sectional

imaging, colonoscopy and laparoscopy
should be employed, and appropriate tissue obtained for
histological confirmation and TB culture.

Kentley, J., Ooi, J. L., Potter, J., Tiberi, S., O’Shaughnessy, T., Langmead, L., … Kunst, H. (2017). Intestinal tuberculosis: a
diagnostic challenge. Tropical Medicine & International Health, 22(8), 994–999. doi:10.1111/tmi.12908
 • Pemeriksaan radiologi pada tb usus :
• Barium Enema
• Ct scan
• USG
• Barium enema dapat mengevaluasi perubahan mukosan namun, gangguan pada
ekstramukosa tidak dapat dievaluasi
• Ultrasound and computed tomography show extramucosal changes directly and
can also occasionally pick up some mucosal changes
• CT also makes an important contribution in evaluating most of the complications
of the intestinal tuberculosis, such as small bowel obstruction, perforation, abscess
formation, fistulae, intussusception and vascular complications like bowel wall
ischemia.
J.M. Pereira et al. / European Journal of Radiology 55 (2005) 173–180
 • The most frequent region of involvement is the
ileocecal junction, followed by the ileum,
cecum, ascending colon, jejunum, rest of the
colon, rectum, duodenum and stomach, in
descending order of frequency
• Thickening of the valve lips
and/or wide gaping between the
valve and narrowed terminal
ileum (Fleischner sign), has been
described as a characteristic sign
on barium examination
Pereira, Jose M. Abdominal tuberculosis: Imaging
features. European Journal of Radiology 55 (2005)
173–180
 • Ultrasonography usually reveals
uniform and concentric
bowelwall thickening in most
patients

Pereira, Jose M. Abdominal tuberculosis: Imaging

features. European Journal of Radiology 55 (2005)
173–180
 • CT is an excellent method for evaluation of
the gross morphology of the pathologic
process [10]. When the inflammatory
process is mild,CTshows only slight and
symmetricwall thickening and a few small
regional lymph nodes

Pereira, Jose M. Abdominal tuberculosis: Imaging

features. European Journal of Radiology 55 (2005)
173–180
Pereira, Jose M. Abdominal tuberculosis: Imaging
features. European Journal of Radiology 55 (2005)
173–180