Ultrasound in diagnose & treatment follow-up of abdominal pain due to intestinal tuberculosis

Preceding treatment All with recurrent colic abdomen pain (some very severe), diarrhea/obstipation, distention, “doughy & dam-board phenomena”, constitutional symptoms, cough and X-ray suggestive lung tuberculosis. Intestinal ultrasound on the tympanic area were normal, but on dullness pain area were: a/hypo-peristaltic, irregular thickening heterogenic hypo-echoic, irregular margin of the wall, loss differentiation of the wall layers, with several oval/round nodular structures (patchy hyper-echoic non-shadowing with an irregular rim of lower echo-density, those suggestive granuloma process) within the wall and narrowing of the lumen. During 9-12 months of anti tuberculosis treatment All the symptoms & signs, dullness area, wall thickening, lumen narrowing were disappeared gradually with better peristaltic at the affected area.