The Imaging Diagnosis of Esophageal Tuberculosis(A Report of 5 cases) / 实用放射学杂志

ABSTRACT

Objective To investigate the imaging appearances of esophageal tuberculosis.Methods 5 cases of esophageal tuberculosis proved by pathology were retrospectively analyzed.There were 2 male and 3 female patients aged between 24 and 36 years median age 29 years. All cases were undergone esophageal barium examination, CT scan and gastroscopy. The surgical resection of the tumor was complemented in one case.Results Esophageal barium contrast study showed the location of lesions at upper, middle and low esophagus in 1,3 and 1 cases respectively. The X-ray features included filling defect in 2 cases, centripetal strictures in 2 cases, intraluminal barium patch in 1 case, extramural irregular fistulous formation in 1 case, mucosa destruction in 2 cases and mucosa flattened or disappeared in 3 cases. On chest CT, bronchiectasis in the posterior basal segment of left inferior lung in 1 case, enlargement of right hilum of lung and small nodule in the right chest wall in 1 case, irregular thickening in the wall of inferior oesophagus in 1 case, pleural adhesion in 1 case were showed, and the other two were normal. The accurate diagnosis was confirmed only in 2 patients preoperation.Conclusion Esophageal tuberculosis extent is not of imaging characteristics, its diagnosis should be in combination with clinical data.