Laparoscopic peritoneal biopsy in the diagnosis of pediatric primary tuberculous peritonitis

Yıl 2024, Cilt: 41 Sayı: 3, 681 - 684, 30.09.2024

Caner İsbir , Edanur Yeşil , Şener Çolak , Hakan Taşkınlar , Ali Naycı

Öz

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.

Anahtar Kelimeler

Child, tuberculous peritonitis, laparoscopy, diagnosis

Etik Beyan

Çalışma dört olgudan oluşan bir vaka serisidir. Etik kurul onayı ihtiyacı bulunmamaktadır.

Destekleyen Kurum

Yoktur

Proje Numarası

Yoktur

Kaynakça

• Dinler G, Sensoy G, Helek D, Kalayci AG. Tuberculous peritonitis in children: report of nine patients and review of the literature. World J Gastroenterol. 2008;14(47):7235-7239.
• Soloviev AE, Vasin IV, Efimov EA. Abdominal'nyi tuberkulez u detei [Abdominal tuberculosis in children]. Khirurgiia (Mosk). 2022;12:78-84.
• Singal R, Gupta S, Gupta S. Primary abdominal tuberculosis presenting as peritonitis in a young child-managed surgically. Asian Pac J Trop Med. 2012;5(5):413-415.
• al-Quorain AA, Facharzt, Satti MB, al-Freihi HM, al-Gindan YM, al-Awad N. Abdominal tuberculosis in Saudi Arabia: a clinicopathological study of 65 cases. Am J Gastroenterol. 1993;88(1):75-79.
• Sharma SK, Mohan A. Extrapulmonary tuberculosis. Indian J Med Res. 2004;120(4):316-353.
• Vaid U, Kane GC. Tuberculous Peritonitis. Microbiol Spectr. 2017;5(1): 10.1128/microbiolspec.
• Avcu G, Sensoy G, Karli A, Caltepe G, Sullu Y, Belet N, et al. A case of tuberculous peritonitis in childhood. J Infect Public Health. 2015;8(4):369-372.
• Chakaya J, Khan M, Ntoumi F, Aklillu E, Fatima R, Mwaba P, et al. Global Tuberculosis Report 2020 - reflections on the Global TB burden, treatment and prevention efforts. Int J Infect Dis. 2021;113(1):7-12.
• Gürkan F, Ozateş M, Boşnak M, Dikici B, Boşnak V, Taş MA, et al. Tuberculous peritonitis in 11 children: clinical features and diagnostic approach. Pediatr Int. 1999;41(5):510-513.
• Lisehora GB, Peters CC, Lee YT, Barcia PJ. Tuberculous peritonitis--do not miss it. Dis Colon Rectum. 1996;39(4):394-399.
• Kritsaneepaiboon S, Andres MM, Tatco VR, Lim CCQ, Concepcion NDP. Extrapulmonary involvement in pediatric tuberculosis. Pediatric radiology. 2017;47(10);1249-1259.
• Cruz AT, Starke JR. Clinical manifestations of tuberculosis in children. Paediatr Respir Rev. 2007;8(2):107-117.
• Larsson G, Shenoy T, Ramasubramanian R, Balakumaran LK, Småstuen MC, Bjune GA, et al. Routine diagnosis of intestinal tuberculosis and Crohn’s disease in Southern India. World J Gastroenterol. 2014;20(17):5017-5024.
• Özbey H, Tireli GA, Salman T. Abdominal tuberculosis in children. Eur J Pediatr Surg. 2003;13(2):116-119.
• Wong SA, Lee Meijuan D, Loh SW, Thoon KC, Tan NWH, Chong CY. Pediatric Abdominal Tuberculosis in Singapore: A 10-Year Retrospective Series. Glob Pediatr Health. 2020;7:2333794X20903952.
• Saczek KB, Schaaf HS, Voss M, Cotton MF, Moore SW. Diagnostic dilemmas in abdominal tuberculosis in children. Pediatr Surg Int. 2001;17(2-3):111-115.
• Aldriwesh M, Albass H, Alzaben S, Alangari R, Alajroush L, Almutairi M, et al. Tuberculous Peritonitis in a Peritoneal Dialysis Paediatric Patient: A Case Report. Clin Med Insights Case Rep. 2022;15:11795476221087056
• Tanrikulu AC, Aldemir M, Gurkan F, Suner A, Dagli CE, Ece A. Clinical review of tuberculous peritonitis in 39 patients in Diyarbakir, Turkey. J Gastroenterol Hepatol. 2005;20(6):906-909.
• Hatherill M, Hawkridge T, Zar HJ, Whitelaw A, Tameris M, Workman L, et al. Induced sputum or gastric lavage for community- based diagnosis of childhood pulmonary tuberculosis? Arch Dis Child. 2009;94:195-20.
• Venkatappa TK, Punnoose R, Katz DJ, Higgins MP, Banaei N, Graviss EA, et al. Comparing QuantiFERON-TB Gold Plus with Other Tests To Diagnose Mycobacterium tuberculosis Infection. J Clin Microbiol. 2019;57(11):e00985-19.
• Hillebrand DJ, Runyon BA, Yasmineh WG, Rynders GP. Ascitic fluid adenosine deaminase insensitivity in detecting tuberculous peritonitis in the US. Hepatology. 1997; 24(6): 1408-1412.
• Harlan WR, Grimm IS. Tuberculous peritonitis: Can adenosine deaminase (ADA) keep the laparoscopy away? Gastroenterology. 1997; 113(2): 687-689.
• Smith KC, Starke J, Eisenach K, Ong LT, Denby M. Detection of Mycobacterium tuberculosis in clinical specimens from children using a polymerase chain reaction. Pediatrics. 1996; 97(2): 155-160.
• Uzunkoy A, Harma M, Harma M. Diagnosis of abdominal tuberculosis: experience from 11 cases and review of the literature. World J Gastroenterol. 2004;10(24):3647-3649.
• Marais BJ, Gie RP, Schaaf HS, Beyers N, Donald PR, Starke JR. Childhood pulmonary tuberculosis: old wisdom and new challenges. Am J Respir Crit Care Med. 2006;173(10):1078-1090.
• Dasgupta A, Singh N, Bhatia A. Abdominal tuberculosis: a histopathological study with special reference to intestinal perforation and mesenteric vasculopathy. J Lab Physicians. 2009;1(2):56-61.
• Vashisht P, Sahoo B, Khurana N, Reddy BS. Cutaneous tuberculosis in children and adolescents: a clinicohistological study. Journal of the European Academy of Dermatology and Venereology. 2007;21(1):40-47.
• Kapoor VK. Abdominal tuberculosis. Postgrad Med J. 1998;74(874):459-467.
• Krishnan P, Vayoth SO, Dhar P, Surendran S, Ponnambathayil S. Laparoscopy in suspected abdominal tuberculosis is useful as an early diagnostic method. ANZ J Surg. 2008;78(11):987-989.