Tuberculous ileitis in a renal transplant recipient with familial Mediterranean fever: Gray-scale and power Doppler sonographic findings

Yilmaz E., BALCI A., Sal S., Cakmakci H.

JOURNAL OF CLINICAL ULTRASOUND, cilt.31, sa.1, ss.51-54, 2003 (SCI-Expanded, Scopus) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 31 Sayı: 1
  • Basım Tarihi: 2003
  • Doi Numarası: 10.1002/jcu.10122
  • Dergi Adı: JOURNAL OF CLINICAL ULTRASOUND
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.51-54
  • Anahtar Kelimeler: enteritis, tuberculosis, ultrasonography, computed tomography, power Doppler ultrasonography, renal transplantation, familial Mediterranean fever
  • Dokuz Eylül Üniversitesi Adresli: Hayır

Özet

The ileocecal area is the most common site of involvement of intestinal tuberculosis. We report the case of a 26-year-old renal transplant recipient with familial Mediterranean fever who developed tuberculous ileitis. Gray-scale sonography and CT showed circumferential thickening of the bowel wall and enlargement of the mesenteric lymph nodes. Power Doppler sonography revealed markedly increased vascularity in the wall of the affected ileal segment and in the mesenteric nodes. Some nodes had no flow at the center owing to caseation necrosis, a finding consistent with the diagnosis of tuberculous ileitis. Colonoscopy was performed, and histopathologic examination of biopsy specimens revealed acute inflammatory changes. Cultures of the specimens confirmed the presence of Mycobacterium tuberculosis. We conclude that findings on power Doppler sonography may support a diagnosis of tuberculous ileitis and avoid clinical mismanagement. (C) 2002 Wiley Periodicals, Inc.