Genitourinary Tuberculosis: Comprehensive Cross-Sectional Imaging
AJR 2005; 184:143-150.
Jung YY, Kim JK, Cho KS.
The genitourinary tract is the most common site of extrapulmonary involvement of tuberculosis [1-3]. Although definitive diagnosis of genitourinary tuberculosis is established by positive results on urine culture or histologic examination of biopsy or surgical specimens, diagnosis is often difficult and delayed [2, 3]. Therefore, radiologic examination is used widely to determine the presence or absence of disease and to monitor the therapeutic efficacy in a clinical situation.
Although excretory urography has contributed greatly to the diagnosis of urinary tuberculosis and many radiologists are familiar with its findings, cross-sectional imaging including CT, MRI, and sonography are required for evaluating patients with genitourinary tuberculosis because these techniques can provide information regarding changes in the renal parenchyma, adjacent organs, and genital organs that is not available on excretory urography [3-5]. However, the appearance of genitourinary tuberculosis on these techniques still is not widely known. This pictorial essay shows and we discuss the comprehensive cross-sectional imaging features of genitourinary tuberculosis.