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A Challenging Surgical Decision in a Child With Bowel Obstruction Secondary to Abdominal Tuberculosis and a
Mohammad T Almohaidly1, Tuqa A Alsinan2,1, Lubabah Mohamadalmoktar3
1Department of Pediatric Surgery, Prince Sultan Military Medical City, Riyadh, SAU.
Insights
Abdominal tuberculosis (ATB) is a severe infectious disease. This case highlights ATB complications like bowel obstruction and fistula formation in a pediatric patient, emphasizing early diagnosis for better outcomes.
Area of Science:
- Infectious Diseases
- Pediatric Gastroenterology
- Global Health
Background:
- Tuberculosis (TB) ranks among the top 10 global causes of death.
- Abdominal tuberculosis (ATB) affects various organs, commonly the peritoneum and intestines.
- Pediatric ATB frequently involves peritoneal and lymph node disease.
Observation:
- A five-year-old girl with no prior medical history presented with abdominal TB.
- The patient developed a bowel obstruction complicated by fistula formation.
- A travel history to Egypt was noted two months prior to presentation.
Findings:
- Abdominal tuberculosis can lead to severe complications such as bowel obstruction and fistula formation in children.
- Prompt recognition and management are crucial for pediatric patients with ATB.
Implications:
- This case underscores the importance of considering ATB and its potential complications in pediatric patients, even those without prior health issues.
- Awareness of travel history can aid in diagnosing infectious diseases like ATB.
- Effective management strategies are vital to reduce the high mortality and morbidity associated with pediatric ATB.
Abstract:
Tuberculosis (TB) is an infectious disease and one of the top 10 causes of death worldwide. Abdominal TB (ATB) can involve the peritoneum, lymph nodes, luminal structures, and solid organs, with a predominance of intestinal and peritoneal forms of the disease. Most pediatric cases may present with peritoneal and lymph node disease. This case reports a five-year-old girl who is medically and surgically free. She had ATB complicated with a bowel obstruction that resulted in an eventful outcome of fistula formation. The family gave a travel history to Egypt two months prior to the emergency first presentation. ATB is considered a severe and challenging infectious disease that affects several systems. It is associated with high mortality and morbidity rates, specifically in the pediatric population. This case discusses the importance of considering the possible complications of ATB in pediatrics to overcome unfavorable outcomes.
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