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Updated: Aug 19, 2025

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Published on: October 25, 2024
[Abdominal tuberculosis in children]
A E Soloviev1, I V Vasin1, E A Efimov2
1Pavlov Ryazan State Medical University, Ryazan, Russia.
Insights
Pediatric abdominal tuberculosis often affects multiple organs and is typically secondary. Diagnosis relies on imaging like CT scans and morphological examination for effective management.
Area of Science:
- Pediatrics
- Infectious Diseases
- Radiology
Context:
- Abdominal tuberculosis (ATB) in children presents diagnostic challenges.
- Understanding the diverse clinical manifestations and diagnostic features is crucial.
Purpose:
- To delineate the diagnostic features and clinical course of abdominal tuberculosis in pediatric patients.
- To identify key diagnostic modalities for ATB in children.
Summary:
- This study followed 18 children with ATB over 50 years.
- Intestinal, mesadenitis, liver, uterine appendages, and peritoneal forms were observed.
- Abdominal CT, diaskintest, and morphological examination proved most valuable for diagnosis.
Impact:
- Highlights the multifocal nature of pediatric ATB, often secondary to other TB sites.
- Emphasizes the importance of advanced imaging and pathological confirmation.
- Suggests maternal respiratory TB negatively impacts fetal and neonatal outcomes.
Objective:
To determine the features of diagnosis and clinical course of abdominal tuberculosis in children.
Material And Methods:
Eighteen children aged from 5 days to 16 years with abdominal tuberculosis have been followed-up throughout 50 years. Diagnostic process implied anamnesis, objective examination, laboratory data and specific samples, ultrasound, X-ray examination, MRI, CT and morphological examination of specimens.
Results:
Intestinal form was diagnosed in 2 children with abdominal tuberculosis, mesadenitis - 3 patients, liver tuberculosis - 4 ones, tuberculosis of uterine appendages - 3 patients, peritonitis - 6 ones. CT of the abdomen, diaskintest and morphological examination were the most important diagnostic methods. Laparotomy was performed in 16 children. Five cases are decsribed.
Conclusion:
Abdominal tuberculosis in children is mostly secondary. Several anatomical regions are simultaneously involved in specific process. Isolated lesion of one abdominal organ is rare. Active tuberculosis of respiratory organs in pregnant women has a significant negative impact on the fetus and newborns.
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