Peritoneal Tuberculosis in Infants: Diagnostic Challenges

Ndeye Aby Ndoye; Papa Alassane Mbaye; Jacques Noel Tendeng; Lissoune Cissé; Mamadou Lamine Diao; Mactar Dieng; Doudou Gueye; Dibor Niang; Oumar Ndour; Gabriel Ngom

doi:10.1055/s-0038-1675406

European Journal of Pediatric Surgery Reports, Table of Contents

CC BY 4.0 · European J Pediatr Surg Rep. 2018; 06(01): e87-e89
DOI: 10.1055/s-0038-1675406

Case Report

Georg Thieme Verlag KG Stuttgart · New York

Peritoneal Tuberculosis in Infants: Diagnostic Challenges

Ndeye Aby Ndoye

¹Department of Pediatric Surgery of Medecine, Universite Cheikh Anta Diop, Dakar, Senegal

²Department of Pediatric Surgery, Albert Royer Children's Hospital, Dakar, Senegal

,

Papa Alassane Mbaye

¹Department of Pediatric Surgery of Medecine, Universite Cheikh Anta Diop, Dakar, Senegal

²Department of Pediatric Surgery, Albert Royer Children's Hospital, Dakar, Senegal

,

Jacques Noel Tendeng

³Chirurgie, Universite Gaston Berger, Saint-Louis, Senegal

⁴Chirurgie Viscérale, Regional Hospital of Saint-Louis, Senegal, Saint-Louis, Senegal

,

Lissoune Cissé

²Department of Pediatric Surgery, Albert Royer Children's Hospital, Dakar, Senegal

,

Mamadou Lamine Diao

⁴Chirurgie Viscérale, Regional Hospital of Saint-Louis, Senegal, Saint-Louis, Senegal

,

Mactar Dieng

⁵Department of Anesthesiology, Regional Hospital of Saint-Louis, Senegal, Saint-Louis, Senegal

,

Doudou Gueye

²Department of Pediatric Surgery, Albert Royer Children's Hospital, Dakar, Senegal

,

Dibor Niang

⁶Department of Pathologists, Universite Gaston Berger, Saint-Louis, Senegal

,

Oumar Ndour

¹Department of Pediatric Surgery of Medecine, Universite Cheikh Anta Diop, Dakar, Senegal

⁷Department of Pediatric Surgery, Hopital Aristide Le Dantec, Dakar, Dakar, Senegal

,

Gabriel Ngom

¹Department of Pediatric Surgery of Medecine, Universite Cheikh Anta Diop, Dakar, Senegal

²Department of Pediatric Surgery, Albert Royer Children's Hospital, Dakar, Senegal

› Author Affiliations

Abstract

Abdominal tuberculosis is rare in immunocompetent infants. We report on two infants with peritoneal tuberculosis (6 and 8 months) who underwent laparotomy for suspected intussusception. In the first patient, characteristic lesions of peritoneal tuberculosis were observed intraoperatively with presence of multiple granulations. Tuberculin intradermal reaction (IDRt) was positive and tuberculous contagium could be cultured. In the second patient, the IDRt and GeneXpert tests were negative. In both patients, the histopathological examination of the biopsy specimens confirmed the diagnosis of peritoneal tuberculosis. The clinical courses under tuberculostatic therapy were favorable in both cases.

Keywords

peritoneal tuberculosis - infant - acute abdomen - laparotomy

Full Text

References

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