PT  - JOURNAL ARTICLE
AU  - Akcam, Mustafa
AU  - Artan, Reha
AU  - Yilmaz, Aygen
AU  - Cig, Hikmet
AU  - Aksoy, Nazif H.
TI  - Abdominal tuberculosis in adolescents. Difficulties in diagnosis.
DP  - 2005 Jan 01
TA  - Saudi Medical Journal
PG  - 122--126
VI  - 26
IP  - 1
4099  - http://smj.org.sa/content/26/1/122.short
4100  - http://smj.org.sa/content/26/1/122.full
SO  - Saudi Med J2005 Jan 01; 26
AB  - Since the nature of abdominal tuberculosis is mimicking a number of diseases, this may cause delayed diagnosis resulting in evident increased morbidity and mortality. Most of the time, serologic and bacteriologic tools are not enough. We report 3 adolescents with distinct presentations, one mimicking Crohn's disease, one with hepatitis, and the last one with ascites. Terminal ileitis and mesenteric lymphadenitis were found in laparotomy of the first case mimicking Crohn disease. Granulomatous hepatitis was found in the liver biopsy of the second patient, and peritonitis was found by laparoscopy of the third patient. Tuberculosis could be diagnosed merely by histopathologic investigation. All were treated successfully without complication.