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Case Reports
. 2018 Jan;6(1):e87-e89.
doi: 10.1055/s-0038-1675406. Epub 2018 Nov 20.

Peritoneal Tuberculosis in Infants: Diagnostic Challenges

Ndeye Aby Ndoye  1   2 , Papa Alassane Mbaye  1   2 , Jacques Noel Tendeng  3   4 , Lissoune Cissé  2 , Mamadou Lamine Diao  4 , Mactar Dieng  5 , Doudou Gueye  2 , Dibor Niang  6 , Oumar Ndour  1   7 , Gabriel Ngom  1   2
Affiliations
Case Reports

Peritoneal Tuberculosis in Infants: Diagnostic Challenges

Ndeye Aby Ndoye et al. European J Pediatr Surg Rep. 2018 Jan.

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: acute abdomen; infant; laparotomy; peritoneal tuberculosis.

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Conflict of interest statement

Conflict of Interest None.

Figures

Fig. 1
Fig. 1
Granulations on the ileum (see arrow).
Fig. 2
Fig. 2
Granulations on the abdominal wall (see arrow).
Fig. 3
Fig. 3
Appendiceal mucosa presenting an inflammatory granuloma involving tuberculous follicle in the submucosa. ( a ) Giant cells. ( b ) Epithelïoid cells. ( c ) Appendiceal mucosa.
Fig. 4
Fig. 4
Ganglionic parenchyma site of inflammatory granulomas. ( a ) Epithelïoid cells. ( b ) Giant cells in concentric arrangement surrounded by lymphocytes. ( c ) Signs of starting necrosis.
See this image and copyright information in PMC

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