J Korean Radiol Soc.  2000 Jan;42(1):167-173. 10.3348/jkrs.2000.42.1.167.

CT and MR Findings of Genitourinary Tuberculosis

Affiliations
  • 1Department of Radiology, Inha University College of Medicine, Korea. mykimrad@unitel.co.kr
  • 2Department of Urology, Inha University College of Medicine, Korea.

Abstract

Genitourinary tuberculosis is a disease spread hematogenously from a small tuberculous abscess of the lung. The renal cortex is initially involved, and multiple granulomas form. Ultimately the cortex may cavitate and communicate with the collecting system, allowing downward extension of the infection and subsequent focal caliectasis with infundibular stenosis, ureteral fibrosis, and calcifications of urinary tract organs. The female genitourinary organ is also infected by the hematogenous spread of tuberculosis, the most common lesion be-ing hydrosalpynx with salpingitis. The clinical and radiologic features of genitourinary tuberculosis may mimic other acute abdominal diseases, and the diagnosis of tuberculosis remains difficult. This report describes the ways in which computed tomography and magnetic resonance imaging are valuable aids in the recognition and diagnosis of genitourinary tuberculosis.

Keyword

Genitourinary system, CT; Genitourinary system, MR; Genitourinary system, infection

MeSH Terms

Abscess
Constriction, Pathologic
Diagnosis
Female
Fibrosis
Granuloma
Humans
Lung
Magnetic Resonance Imaging
Salpingitis
Tuberculosis*
Ureter
Urinary Tract
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