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What Does Mild Thickening Of The Terminal Ileum In My Ct Scan Indicate?
CT Scan report mentions "mild thickening of the terminal ileum with some prominent mesentric lymphnodes suggestive of inflamatery changes". Does this suggest Koch's Abdomen. If so whcih test should be conducted for tuberculosis confirmation.
I L Momin
I L Momin
Mon, 19 May 2014
HI.
Yes this is the most common cause and best tests are :::
Colonoscopy and biopsy-
DIagnostic laparoscopy and biopsy of the lymph nodes. and FNAC of the thickened lools. On laparoscopy one gets clinical idea of whether this is TB or not.
The older tests blood for TB are not useful. Newer blood test is Quantiferon gold TB test.
Sometimes we can give anti-TB treatment on ''émpirical basis'' that is on high clinical suspicion. if one gets proper positive results, continue with the whole course.
Yes this is the most common cause and best tests are :::
Colonoscopy and biopsy-
DIagnostic laparoscopy and biopsy of the lymph nodes. and FNAC of the thickened lools. On laparoscopy one gets clinical idea of whether this is TB or not.
The older tests blood for TB are not useful. Newer blood test is Quantiferon gold TB test.
Sometimes we can give anti-TB treatment on ''émpirical basis'' that is on high clinical suspicion. if one gets proper positive results, continue with the whole course.
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