Tuberculous peritonitis: Uncommon cause of pediatric acute abdomen.
Peritonitis Tuberculosa: Causa no común de abdomen agudo pediátrico.
How to Cite
Download Citation
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Show authors biography
Background: Peritoneal tuberculosis (PT) is the sixth most common extrapulmonary cause of tuberculosis, and is rare in pediatrics, with a prevalence of 11-16%. [3] Other authors report an incidence of 0.3% to 3%. [4] PT is a secondary entity to another tuberculous lesion, either through hematogenous or lymphatic dissemination from a distant focus, or local extension.
Case presentation: We present the case of a 10-year-old patient, who was referred from another health center with a diagnosis of surgical acute abdomen. She presented nonspecific symptoms and was noted for her torpid evolution, and PT was suspected due to her family history. A simple and contrast-enhanced tomography scan of the abdomen was requested, where ascites was evident, and a diagnostic laparoscopy was performed to take a sample.
Conclusion: The diagnosis of peritoneal tuberculosis merits a high degree of suspicion, since it can simulate other clinical conditions.
Article visits 154 | PDF visits 68
Downloads
- 1. World Health Organization . Ginebra: WHO; 2018. Global tuberculosis report 2018. 1. World Health Organization. Global tuberculosis report 2018. Ginebra: WHO; 2018.
- 2. León D, Luna J, Acosta D, Cabrera M, Ross E, Acosta D. Importancia de la laparoscopia en el diagnóstico de la tuberculosis peritoneal en pediatría. Canarias Pediatría. 2021. Vol. 45, N3
- 3. Silva G, Pérez F, Marín D. Tuberculosis en niños y adolescentes en Ecuador: análisis de la notificación, las características de la enfermedad y el resultado del tratamiento. Rev Panam Salud Pública 2019; 43:e104
- 4. Lal S, Bolia R, Menon J, Venkatesh V, Bhatia A, Vaiphei K, et al. Abdominal tuberculosis in children: A real-world experience of 218 cases from an endemic region. JGH 2019; 4:215-220
- 5. Chiang SS, Roche S, Contreras C, Alarcón V, Del Castillo H, Becerra MC, et al. Barriers to the diagnosis of childhood tuberculosis: a qualitative study. Int J Tuberc Lung Dis. 2015;19(10):1144–1152. doi: 10.5588/ijtld.15.0178.; 23. Chiang SS,
- 6. Baruteu O, Erel HE, Yildirim T. Tuberculosis abdominopelvica simulando carcinoma ovárico diseminado. Abdom Imaging 2002;27:465 a 49
- 7. Uzunkoy A, Harma M, Harma M. Diagnosis of abdominal tuberculosis: experience from 11 cases and review of the literature. World J Gastroenterol 2004; 10:3647-3649
- 8. Wu D, Averbukh L, Wu G. Diagnostic and therapeutic strategies for peritoneal tuberculosis: A review. J Clin Transl Hepatol 2019;7(2):140-148.
- 9. Hong K, Lee S, Moon H. Comparison between laparoscopy and noninvasive tests for the diagnosis of tuberculous peritonitis. World J Surg 2011; 35(11):2369-75.
- 10. Abdelaal A, Alfkey R, Abdelaziem S, Abunada M, Alfaky A, Ibrahim W. et al. Role of laparoscopic peritoneal biopsy in the diagnosis of peritoneal tuberculosis. A seven-year experience. Chirurgia (Bucur) 2014; 109(3):330-334.
- 11. Debi U, Ravisankar V, Prasad K, Sinha S, Sharma A. Abdominal tuberculosis of the gastrointestinal tract: revisited. World J Gastroenterol 2014; 20(40):14831-14840.
- 12. Roche S, Contreras C, Alarcón V, Del Castillo H, Becerra MC, et al. Barriers to the diagnosis of childhood tuberculosis: a qualitative study. Int J Tuberc Lung Dis. 2015;19(10):1144-52.
- 13. Lal S, Bolia R, Menon J, Venkatesh V, Bhatia A, Vaiphei K, et al. Abdominal tuberculosis in children:A real-world experience of 218 cases from an endemic region. JGH 2019; 4:215-220
- 14. Mehta J, Dutt A, Harvill L, Mathews K. Epidemiology of extrapulmonary tuberculosis. A comparative analysis with pre-AIDS era. Chest 1991; 99:1134-1138
- 15. Azihan Z, Wong M, Zubaidah S, Asyilla C, Sharifah E. Peritoneal tuberculosis - A diagnostic challenge in acute abdomen. Surg Chron 2019; 24:88-90
- 16. Kılıç Ö, Somer A, Törün S, Emiroğlu M, Salman N, Salman T, et al. Assessment of 35 children with abdominal tuberculosis. Turk J Gastroenterol 2015;26(2):128-32
- 17. Guirat A, Koubaa M, Mzali R, Abid B, Ellouz S, Affes N, et al. Peritoneal tuberculosis. Clin Res Hepatol Gastroenterol 2011; 35(1):60-9.
- 18. Mbengue A, Ndiaye A, Amar N, Diallo M, Diack A, Ndao M, et al. Ultrasonography of peritoneal tuberculosis. J Ultrason 2019; 19(77):98-104.
- 19. Delgado M, González N. Comparación de la capacidad predictiva de dos escalas para el diagnóstico de tuberculosis en niños. Arch Argent Pediatr. 2015; 113(6):491-497
- 20. Silva G, Pérez F, Marín D. Tuberculosis en niños y adolescentes en Ecuador: análisis de la notificación, las características de la enfermedad y el resultado del tratamiento. Rev Panam Salud Publica. 2019 Dec 20;43:e104. Spanish. doi: 10.26633/RPSP.2019.104. PMID: 31892930; PMCID: PMC6922074.
