TY - JOUR AU - Ahmed, Iftikhar AU - Dogar, Iqbal Hussain AU - Medhi, Anjum AU - Gautam, Mahesh AU - Masood, Mahjabeen PY - 2015/11/02 Y2 - 2024/03/29 TI - COMPARISON OF COMPUTERIZED TOMOGRAPHIC AND ULTRASONOGRAPHIC FINDINGS IN ABDOMINAL TUBERCULOSIS JF - Annals of King Edward Medical University JA - Annals KEMU VL - 21 IS - 3 SE - Medicine & Allied DO - 10.21649/akemu.v21i3.746 UR - https://annalskemu.org/journal/index.php/annals/article/view/746 SP - 187 AB - <p><strong>Abstract</strong></p> <p><strong>Introduction:&nbsp;&nbsp;</strong>Abdominal TB is very common in third world countries with poor socioeconomic status like Pakistan. Majority of patients end up in intestinal obstruction and other complications and finally under-go surgery. Abdominal tuberculosis may be, enteric, peritoneal, nodal and solid visceral TB or in any com-bination of these four varieties. In some cases, res-ponse to therapeutic trials of anti-tuberculous drugs is the basis of diagnosis that may cause a delay in the diagnosis of other diseases which mimic abdominal tuberculosis. Therefore, diagnosis of abdominal tuberculosis is an ongoing challenge to the physicians, espe-cially with limited resources. Ultrasound and CT are good diagnostic helping tools in diagnosis of abdomi-nal tuberculosis.</p> <p><strong>Objectives:&nbsp;&nbsp;</strong>To compare the diagnostic accuracy of Computerized Tomographic and Ultrasonographic findings in Abdominal Tuberculosis considering His-topathology as gold standard.<strong></strong></p> <p><strong>Study Design:&nbsp;&nbsp;</strong>Comparative cross sectional.</p> <p><strong>Setting:&nbsp;&nbsp;</strong>Department of Diagnostic Radiology, Mayo Hospital Lahore.</p> <p><strong>Duration of Study:&nbsp;&nbsp;</strong>Twelve months after the approval of synopsis, from June 2007 to May 2008.</p> <p><strong>Subjects and Methods:&nbsp;&nbsp;</strong>50 patients with clinically suspected abdominal tuberculosis who were candidate for elective surgery were selected. History, examinat-ion and relative investigation were recorded and analy-zed with SPSS version 10.</p> <p><strong>Results:&nbsp;&nbsp;</strong>CT is a better modality in finding ileocecal involvement, omentum involvement and para-aortic lymphadenopathy than USG and USG is slightly better in finding mesenteric lymphadenopathy than CT in abdominal tuberculosis.</p> <p><strong>Conclusion:&nbsp;&nbsp;</strong>Although none is 100% accurate but there is difference in diagnostic accuracy of compu-terized tomographic and ultrasonographic findings in abdominal tuberculosis. In short combined together, these two modalities can be of great help in pre-opera-tive diagnosis of ATB and in decreasing the mortality and morbidity of the disease.</p> <p><strong>Key words:&nbsp;&nbsp;</strong>Abdomen, Tuberculosis, Ultrasono-graphy, Computerized Tomography.</p> ER -