The radiology of tuberculosis of the gastro-intestinal tract

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Abstract
The radiological appearances of tuberculosis of the gastro-intestinal tract are presented. One hundred and seventeen cases were seen at the Groote Schuur Hospital over the period 1962–71. In only 44 cases was there evidence of pulmonary tuberculosis. The series included three cases of oesophageal, two of gastric, three of pyloroduodenal, and ten of mesenteric lymph-node tuberculosis, 17 cases of malabsorption or protein losing enteropathy, three of small bowel strictures, 11 ileocaecal lesions, 10 colonic tubercle and 58 of tuberculous peritonitis. The appearance of tuberculosis of the gastro-intestinal tract radiologically depends on the presence of ulceration, fibrosis, enlarged lymph nodes, or caseous lesions with abscess formation. The differentation of tuberculosis from neoplasms or Crohn's disease is discussed and the difficulty and limitations of radiology in this condition is stressed.

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