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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Oesophageal perforation as a complication of primary pulmonary tuberculous lymphadenopathy in children
Pediatric Radiology, Volume 37, No. 7, Year 2007
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Description
Background: Involvement of the oesophagus by tuberculosis is rare, and erosion and perforation of the oesophagus by tuberculous lymphadenopathy is an unusual complication of primary pulmonary tuberculosis. There are very few reports describing both CT and contrast swallow appearances of these lesions. Objective: To describe the CT and contrast swallow appearances of oesophageal erosion and perforation by lymphadenopathy as a complication of primary pulmonary tuberculosis in children. Materials and methods: Imaging of three children with confirmed pulmonary tuberculosis and oesophageal perforation was retrospectively reviewed. Results: Tuberculosis was confirmed by culture in all three patients. Contrast swallow demonstrated a contained leak in two patients and a tracheo-oesophageal fistula in one. Two patients had mediastinal air and one patient had a mediastinal collection on CT. All patients had features diagnostic of pulmonary tuberculosis on CT. Conclusion: The imaging features comprise leakage of contrast medium with or without fistula formation on contrast swallow, large low-density lymph nodes on CT, and mediastinal air. The use of retrievable stents is a promising idea in this condition. © Springer-Verlag 2007.
Authors & Co-Authors
Erlank, Anita
South Africa, Stellenbosch
Stellenbosch University
Goussard, Pierre
South Africa, Tygerberg
Tygerberg Hospital
Andronikou, Savvas K.D.
South Africa, Stellenbosch
Stellenbosch University
Gie, Robert Peter
South Africa, Tygerberg
Tygerberg Hospital
Sidler, Daniel
South Africa, Tygerberg
Tygerberg Hospital
Ackermann, Christelle
South Africa, Stellenbosch
Stellenbosch University
Parsons, Jaco
South Africa, Stellenbosch
Stellenbosch University
Greyling, Jaco
South Africa, Stellenbosch
Stellenbosch University
Statistics
Citations: 17
Authors: 8
Affiliations: 2
Identifiers
Doi:
10.1007/s00247-007-0482-5
ISSN:
03010449
e-ISSN:
14321998
Research Areas
Environmental
Health System And Policy
Maternal And Child Health