Intestinal Tuberculosis: A tomographic perspective on diagnosis

Tuberculosis intestinal: una aproximación a su diagnóstico desde el punto de vista tomográfico

Authors

  • Carlos Alfredo Iñiguez Guzmán Universidad Católica de Cuenca
  • Joel Sebastian Vintimilla-Contreras Universidad Católica de Cuenca. Cuenca, Ecuador

Abstract

Tuberculosis affects one-third of the global population, with the highest incidence concentrated in developing countries and among immunosuppressed patients. Among its extrapulmonary manifestations, intestinal involvement ranks sixth in frequency, with a predilection for the ileocecal region, typically presenting as intestinal inflammatory changes and necrotic lymph nodes. The most common symptoms include abdominal pain, fever, and palpable mass, often associated with histological findings of confluent caseating granulomas and ulcerative mucosal lesions. Intestinal inflammatory processes can result from various etiologies. From an imaging perspective, it is essential to identify descriptors that help differentiate inflammatory-infectious conditions from neoplastic processes. Here, we present a case of intestinal tuberculosis with multifasic abdominopelvic computed tomography findings consistent with this entity. Keywords: Colon; Tomography, X-Ray Computed; Tuberculosis, Gastrointestinal (Source: MeSH, NLM).

Author Biographies

Carlos Alfredo Iñiguez Guzmán, Universidad Católica de Cuenca

Medical specialist in imaging and professor of the Imaging Department in the School of Medicine at the Universidad Católica de Cuenca, Ecuador.

Joel Sebastian Vintimilla-Contreras, Universidad Católica de Cuenca. Cuenca, Ecuador

Final-year medical student at Universidad Católica de Cuenca.

Published

2025-12-15

How to Cite

Iñiguez Guzmán, C. A., & Vintimilla-Contreras, J. S. (2025). Intestinal Tuberculosis: A tomographic perspective on diagnosis: Tuberculosis intestinal: una aproximación a su diagnóstico desde el punto de vista tomográfico. Peruvian Journal of Health Care and Global Health, 9(3). Retrieved from http://revista.uch.edu.pe/index.php/hgh/article/view/352

Issue

Section

Case reports