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Tuberculous peritonitis in children:Report of nine patients and review of the literature

Tuberculous peritonitis in children:Report of nine patients and review of the literature

作     者:Gnül Dinler Gülnar Sensoy Deniz Helek Ayhan Gazi Kalayc■ 

作者机构:Division of Pediatric GastroenterologyHepatology and NutritionOndokuz May■s University HospitalSamsun55139Turkey Division of Pediatric Infectious DiseasesOndokuz May■s University HospitalSamsun55139Turkey Division of PediatricsOndokuz May■s University HospitalSamsun55139Turkey 

出 版 物:《World Journal of Gastroenterology》 (世界胃肠病学杂志(英文版))

年 卷 期:2008年第14卷第47期

页      面:7235-7239页

核心收录:

学科分类:1002[医学-临床医学] 100202[医学-儿科学] 10[医学] 

主  题:Child Clinical presentation Diagnosis Tuberculous peritonitis 

摘      要:AIM:To present our experience with tuberculous peritonitis treated in our hospital from 2002-2007. METHODS: We reviewed the medical records of 9 children with tuberculous peritonitis. RESULTS: Nine patients (5 boys, 4 girls) of mean age 14.2 years were diagnosed with peritoneal tuberculosis. All patients presented with abdominal distention. Abdominal pain was seen in 55.5% and fever in 44.4% of the patients. Four cases had coexisting pleural effusion and two had pulmonary tuberculosis with parenchymal consolidation. Ultrasonography found ascites with septation in 7 patients. Two patients had only ascites without septation. Ascitic fluid analysis of 8 patients yielded serum-ascite albumin gradients of less than 1.1 gr/dL. Laparoscopy and laparotomy showed that whitish tuberculi were the most common appearance. Adhesions were also seen in three cases. The diagnosis of peritoneal tuberculosis was confirmed histo-pathologically in 7 patients and microbiologically in two. Two patients had been diagnosed by ascitic fluid diagnostic features and a positive response to antituberculous treatment. All patients completed the antituberculous therapy without any complications. CONCLUSION: Tuberculous peritonitis has to be clinically suspected in all patients with slowly progressive abdominal distension, particularly when it is accompanied by fever and pain. Laparoscopy and peritoneal biopsy are still the most reliable, quick and safe methods for the diagnosis of tuberculous peritonitis.

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