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Korean J Pediatr Gastroenterol Nutr. 2002 Sep;5(2):181-185. Korean.
Published online Sep 30, 2002.  https://doi.org/10.5223/kjpgn.2002.5.2.181
Copyright © 2002 The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition
A Case of Tuberculous Peritonitis Mimicking Surgical Abdomen
Hyun Jin Kim, Hae Soon Kim, Jeong Wan Seo, Kum Ja Choi,* Sun Wha Lee, and Sun Hee Sung
Department of Pediatrics, Ewha Womans University College of Medicine, Seoul, Korea.
*Department of Surgery, Ewha Womans University College of Medicine, Seoul, Korea.
Department of Radiology, Ewha Womans University College of Medicine, Seoul, Korea.
Department of Pathology, Ewha Womans University College of Medicine, Seoul, Korea.
Abstract

Childhood tuberculous peritonitis is difficult to diagnose especially in cases without pulmonary involvement. It may present as mechanical ileus, perforation, simulating acute appendicitis, enterocolitis or intusussception. Early diagnosis in children may be difficult, largely because of variable vague symptoms and nonspecific signs. Surgery has often been required for pathologic confirmation. We have experienced a case of tuberculous peritonitis presenting with abdominal pain, abdominal distension and persistent high fever in a 10-year-old boy who was diagnosed by explo- laparotomy and pathologic confirmation from biopsy specimen from omentum. The patient was treated with antituberculous drugs and recovered uneventfully.

Keywords: Tuberculous peritonitis; Child