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Introduction: Tuberculosis is an infectious disease, mainlycaused by Mycobacterium tuberculosis and its incidence haveincreased across the globe. Objective: This was a hospitalbased retrospective study and was used to determine the roleof CT in establishing the definitive diagnosis of spinal TB.Material and Methods: The patient data was retrievedfrom the digital database of the hospital. Out of 120 patients,14 patients were included in this study. Patients age, sex,symptoms and signs were noted down. CT scan with axial,coronal and sagittal sections were studied. Axial, coronal andsagittal sections of CT were reviewed by an expert radiologist.Results: Fourteen (11.4%) adults with spinal tuberculosiswere found among 120 patients during this study period. Themean age (± SD) in our cases was 46.5 (± 22.0) years. Out of14, 8 were males and 6 were females, with male: female ratioof 1.4. The mean duration was 1.25 years. The most commonfeature was rachialgia which was seen in 93% of cases,followed by segmental spinal stiffness (50%). The diagnosisin these cases was based on history, physical examination,vertebral radiographs, CT scan and response the medications.On vertebral imaging, lumbar lesions (57%) were seen inmost of the cases, followed by dorsal (36%) and cervical (7%)involvement. The prognosis was good in all these cases exceptin two patients with medullary compression.Conclusion: In the recent years, the incidence of spinal TB hasincreased in both the developed and developing nations andis difficult to diagnose as histopathology is not done straightaway in such cases. The presence of back pain associated withmajor radiological signs of spondylosis on CT can be used todiagnose this condition
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Background: An accidently ingested foreign body may get lodged within the lumen of gastrointestinal tract, pass uneventfully with feces or may migrate extraluminally into the surrounding tissues in which case it may lead to suppurative or vascular complications. The aim of the endeavor was to study the spectrum of imaging findings in patients with accidental ingestion of foreign bodies with trans-gastric migration of metallic foreign bodies.Methods: Total 33 patients with history of accidental ingestion of foreign bodies were subjected to preliminary radiograph of neck, chest and abdomen followed by upper gastrointestinal endoscopy. Failure to retrieve/ localize foreign body endoscopically from upper gastrointestinal tract with check radiograph reiterating the presence of foreign body in upper abdomen were subjected to computed tomography of abdomen.Results: A total of 33 patients comprising of 27 females and 6 males with mean age of 23.76 years with history of foreign body ingestion were studied. Ingested foreign bodies were lodged in pharynx (n=7), esophagus (n=3), stomach (n=13) or duodenum (n=3). In 7 patients in whom endoscopy failed to locate and/or retrieve foreign body, computed tomography confirmed the presence of trans-gastrically migrated foreign body in the surrounding structures. The location of migrated foreign bodies was in lesser sac (n = 2), greater omentum (n = 3), lesser omentum (n = 1) and transmural (n = 1). Two patients had evidence of collection formation around the migrated foreign bodies.Conclusions: Sharp or pointed metallic foreign bodies may migrate trans-luminally with various implications. Though radiography is the preliminary workhorse for the confirmation of ingested foreign bodies, computed tomography owing to its volumetric data acquisition helps in exact localization of migrated foreign bodies and should precede any therapeutic intervention for retrieval of migrated foreign bodies.