Pediatric Gastroenterology, Hepatology & Nutrition
- Volume 5 Issue 2
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- Pages.181-185
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- 2002
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- 2234-8646(pISSN)
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- 2234-8840(eISSN)
A Case of Tuberculous Peritonitis Mimicking Surgical Abdomen
외과적 복부질환으로 오인된 결핵성 복막염 1례
- Kim, Hyun-Jin (Department of Pediatrics, Ewha Womans University College of Medicine) ;
- Kim, Hae-Soon (Department of Pediatrics, Ewha Womans University College of Medicine) ;
- Seo, Jeong-Wan (Department of Pediatrics, Ewha Womans University College of Medicine) ;
- Choi, Kum-Ja (Department of Surgery, Ewha Womans University College of Medicine) ;
- Lee, Sun-Wha (Department of Radiology, Ewha Womans University College of Medicine) ;
- Sung, Sun-Hee (Department of Pathology, Ewha Womans University College of Medicine)
- 김현진 (이화여자대학교 의과대학 소아과학교실) ;
- 김혜순 (이화여자대학교 의과대학 소아과학교실) ;
- 서정완 (이화여자대학교 의과대학 소아과학교실) ;
- 최금자 (이화여자대학교 의과대학 외과학교실) ;
- 이선화 (이화여자대학교 의과대학 진단방사선과학교실) ;
- 성순희 (이화여자대학교 의과대학 병리학교실)
- Received : 2002.08.22
- Accepted : 2002.09.07
- Published : 2002.09.30
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.
저자들은 지속되는 고열과 복통을 주소로 입원한 10세 남아에서 외과적인 복부 질환이 의심되어 시험적 개복술을 시행하여 복막 조직 검사 소견과 복수에서 결핵균의 배양으로 확진하고 항결핵제 투여로 치료한 결핵성 복막염 1례를 문헌고찰과 함께 보고하는 바이다.