A Case of Tuberculous Peritonitis Mimicking Surgical Abdomen.
- Author:
Hyun Jin KIM
1
;
Hae Soon KIM
;
Jeong Wan SEO
;
Kum Ja CHOI
;
Sun Wha LEE
;
Sun Hee SUNG
Author Information
1. Department of Pediatrics, Ewha Womans University College of Medicine, Seoul, Korea. jwseo@ewha.ac.kr
- Publication Type:Case Report
- Keywords:
Tuberculous peritonitis;
Child
- MeSH:
Abdomen*;
Abdominal Pain;
Appendicitis;
Biopsy;
Child;
Early Diagnosis;
Enterocolitis;
Fever;
Humans;
Ileus;
Laparotomy;
Male;
Omentum;
Peritonitis, Tuberculous*
- From:Korean Journal of Pediatric Gastroenterology and Nutrition
2002;5(2):181-185
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Childhood tuberculous peritonitis is difficult to diagnose especially in cases without pulmonary involvement. It may present as mechanical ileus, perforation, simulating acute appendicitis, enterocolitis or intusussception. Early diagnosis in children may be difficult, largely because of variable vague symptoms and nonspecific signs. Surgery has often been required for pathologic confirmation. We have experienced a case of tuberculous peritonitis presenting with abdominal pain, abdominal distension and persistent high fever in a 10-year-old boy who was diagnosed by explo- laparotomy and pathologic confirmation from biopsy specimen from omentum. The patient was treated with antituberculous drugs and recovered uneventfully.
