Laparoscopic peritoneal biopsy in the diagnosis of pediatric primary tuberculous peritonitis

Abstract

This study aimed to share our experiences with children who have primary tuberculous peritonitis, which is difficult to diagnose, who underwent diagnostic laparoscopy. The study included two boys (8 and 9 years of age) and two girls (10 and 14 years of age). Three of the patients had complaints of abdominal pain for 1-2 months, and one patient had a mass lesion in the epigastric region for 3 months. All patients' tuberculosis skin tests were negative. Acid-fast bacilli were not detected in throat, sputum, or tissue cultures. Peritoneal thickening was detected on abdominal computed tomography in all patients. Laparoscopic peritoneal biopsy was performed in all patients. Pathology results revealed chronic granulomatous inflammation in the patients. During postoperative follow-up, subileus findings were observed in one patient, and proximal jejunal perforation developed in one patient. Diagnostic laparoscopy is thought to be a useful diagnostic tool for both sampling and morphological identification of lesions in tuberculous peritonitis.

Keywords

• Child
• tuberculous peritonitis
• laparoscopy
• diagnosis

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