|
|
||||||||
American Journal of Roentgenology, Vol 158, 571-573, Copyright © 1992 by American Roentgen Ray Society
ARTICLES |
KM Das, S Vaidyanathan, A Rajwanshi and R Indudhara
Department of Radio-diagnosis, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
Sonographically guided fine-needle aspiration cytology was performed in 19 patients suspected to have renal tuberculosis. This procedure enabled a diagnosis of renal tuberculosis to be made in six of seven patients with urine cultures consistently negative for acid-fast bacilli and confirmed the diagnosis in nine patients with focal renal lesions on sonography and urine cultures positive for acid-fast bacilli. The fine-needle aspiration cytologic samples were positive for acid-fast bacilli in seven (44%) of the 16 confirmed cases, and acid- fast bacilli were present in 80% of the samples containing necrotic material. Epithelioid granulomas were present in 15 (94%) of 16 patients diagnosed with renal tuberculosis. One patient had no evidence of acid-fast bacilli or epithelioid granulomas, but seminal fluid ultimately grew acid-fast bacilli. Two patients (13%) with evidence of tuberculosis had minor self-limiting complications from the fine-needle aspiration: one perirenal hematoma and one abdominal wall intramuscular hematoma. Sonographically guided fine-needle aspiration cytology is useful as a means of diagnosing renal tuberculosis in patients with urine cultures negative for acid-fast bacilli, and is of value in defining the granulomatous nature of sonographically visible lesions in patients with positive urine cultures.
This article has been cited by other articles:
![]() |
S. B. Vijayaraghavan, S. V. Kandasamy, M. Arul, M. Prabhakar, C. L. Dhinakaran, and R. Palanisamy Spectrum of High-Resolution Sonographic Features of Urinary Tuberculosis J. Ultrasound Med., May 1, 2004; 23(5): 585 - 594. [Abstract] [Full Text] [PDF] |
||||
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |