ILEOCECAL TB

Question 1

Physiological factors predisposing to ileocecal TB

Answer 1

Peyers patches trapping organism
Dec. digestive function
Inc. Stasis dt ileocecal valve
Inc. Liquid content
Inc. Fluid and electrolyte absorption

Question 2

Investigations: ILEOCECAL TB

Answer 2

Mantoux

ELISA

SAFA

ESR

COLONOSCOPY - mucosal edema
Mucosal nodules
Strictures
Deformed valve
Pseudopolyps

FNAC

LAPAROSCOPY to visualise & biopsy

PCR

STOOL CULTURE for AFB

P/C needle biopsy

ANTICORD FACTOR ANTIBODY

Question 3

Barium X features ILEOCECAL TB

Answer 3

Pulled up cecum
Pulled down hepatic flexure
Conical cecum
Calcifications
Ileocecal spasm
Barium Flocculations

STIERLIN SIGN
FLEISCHNER SIGN
NAPKIN LESIONS
CHICKEN INTESTINE
STRING SIGN
MEGAILEUM

Question 4

USG features ILEOCECAL TB

Answer 4

Thickened bowel wall
Loculated ascites
Thickened mesentery
Matted, enlarged LN

CLUB SANDWICH APPEARANCE
STELLATE SIGN
PSEUDOKIDNEY SIGN

Question 5

CT features ILEOCECAL TB

Answer 5

Thickened bowel wall
Loculated ascites
Enlarged and necroses nodes
Adhesions
Strictures