Abdominal Tuberculosis in Children

作者：Thapa B R^*; Gupta Vineet

来源：Indian Journal of Pediatrics, 2008, 75: S39-S43.

• Abdominal tuberculosis
• Peritoneal
• Lymphnodal
• Ascites
• Fistulae

Abdominal tuberculosis (ATB) is relatively rare in the pediatric age group. There is involvement of gastrointestinal tract, peritoneum, lymph nodes, or solid viscera. In our study, the frequency of involvement is intestinal (67%), peritoneal (27%), lymphnodal (4%) and hepatic (2.5%). In children the frequency of intestinal TB is ileal (43.6%), large bowel (10%), ileocecal (6.5%), jejunal (4%) and duodenal (2.5%). Clinical features of ATB are pain abdomen (81%), weight loss (84%), anorexia (60%), fever (53%), chronic diarrhea (64%), vomiting (31%), alternating diarrhea and constipation (18%), distension (69%), visible peristalsis (27%), doughy feel (39%). Lump (19%), ascites (15%), hepatomegaly (51%), splenomegaly (21%) and enterocutaneous fistula (4%). Definitive diagnosis is made on FNAC/biopsy, which shows the classical caseating grauloma and demonstration of AFB. In addition, radiological investigations like plain X-ray abdomen, enteroclysis, ultrasound and CT scan also help. Serological tests are promising. A high index of suspicion is important for diagnosing ATB in appropriate clinical settings. Treatment with anti-tuberculous drugs is effective. Complicated ATB may require surgical management.

• 出版日期2008
• 单位河北医科大学