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Abdominal tuberculosis in children.

H Ozbey¹, G A Tireli, T Salman

¹Department of Paediatric Surgery, University of Istanbul, Istanbul Medical Faculty, Istanbul, Turkey. huseyinbey@hotmail.com

European Journal of Pediatric Surgery : Official Journal of Austrian Association of Pediatric Surgery ... [Et Al] = Zeitschrift Fur Kinderchirurgie

|May 31, 2003

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Abdominal tuberculosis (AT) is a rare intraabdominal infection. Diagnosis is challenging, and surgery should be limited to sampling to avoid complications, as chemotherapy is effective.

Area of Science:

Infectious Diseases
Gastroenterology
Surgical Pathology

Background:

Abdominal tuberculosis (AT) presents as a rare cause of intraabdominal infection.
Surgical intervention for AT is typically reserved for diagnosis or managing complications.

Purpose of the Study:

To review surgical interventions for abdominal tuberculosis.
To evaluate the role of surgery in diagnosing and managing AT.

Main Methods:

Retrospective review of medical records for 14 patients diagnosed with AT between 1983 and 2000.
Surgical procedures included laparotomy and diagnostic laparoscopy for tissue and fluid sampling.

Main Results:

The median age of patients was 7 years, with common symptoms including abdominal pain, weight loss, and mass.

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Surgical indications included intestinal obstruction, abdominal mass, psoas abscess, and intussusception.

Histopathological and microbiological examinations confirmed AT; most patients survived with antituberculous therapy.

Conclusions:

Diagnosing AT pre-complication is difficult.
Aggressive surgery should be avoided due to excellent chemotherapy response.
Initial surgical intervention should focus on tissue and fluid sampling for diagnosis.