RT Journal Article
SR Electronic
T1 Abdominal tuberculosis in adolescents. Difficulties in diagnosis.
JF Saudi Medical Journal
JO Saudi Med J
FD Prince Sultan Military Medical City
SP 122
OP 126
VO 26
IS 1
A1 Akcam, Mustafa
A1 Artan, Reha
A1 Yilmaz, Aygen
A1 Cig, Hikmet
A1 Aksoy, Nazif H.
YR 2005
UL http://smj.org.sa/content/26/1/122.abstract
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.