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Primary abdominal tuberculosis presenting as peritonitis in a young child-managed surgically

Rikki Singal1, Sunita Gupta, Samita Gupta

  • 1Department of Surgery, Maharishi Markandeshwer Institute of Medical Sciences and Research, Mullana, Haryana, India. singalrikki@yahoo.com

Asian Pacific Journal of Tropical Medicine
|May 2, 2012
PubMed

Insights

Abdominal tuberculosis, a rare form of TB, can cause serious complications like peritonitis and intestinal obstruction in children. Early diagnosis and a full year of antitubercular treatment are crucial for recovery.

Area of Science:

  • Gastroenterology
  • Infectious Diseases
  • Pediatric Surgery

Background:

  • Abdominal tuberculosis (TB) is a significant extra-pulmonary manifestation.
  • It ranks as the sixth most common form of TB globally.
  • This case highlights a rare presentation in a pediatric patient.

Observation:

  • A 7-year-old female presented with symptoms suggestive of peritonitis and intestinal obstruction.
  • Surgical exploration revealed extensive interloop fibrosis and small bowel perforation.
  • These findings are indicative of advanced abdominal TB.

Findings:

  • The patient was diagnosed with abdominal tuberculosis.
  • Operative findings confirmed intestinal perforation and fibrosis.
  • Successful treatment involved a comprehensive one-year course of antitubercular therapy.

Implications:

  • This case underscores the importance of considering abdominal TB in pediatric patients with unexplained gastrointestinal symptoms.
  • Prompt diagnosis and adherence to a full treatment regimen are vital for favorable outcomes.
  • Further research into early diagnostic markers for pediatric abdominal TB is warranted.

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