Şemsi Güliz YILMAZ, Özgür ÇAĞLAR, Kutluğ SINMAZ, Mustafa ÖZÇATAL, Binali FIRINCI, Taylan ÇELİK, Huriye Gözde MUHAFIZ ÖZSU

Current considerations and criticism for childhood abdominal tuberculosis with our seven cases experiences

Aim: Childhood abdominal tuberculosis is frequently diagnosed as an acute abdomen and operate in veiny. Milky way, like appearanceon X-ray/computerized tomography get, should be thanked for tuberculosis. Direct microscopic and consecutive histopathologicexamination of endoscopic aspiration material is to be the first approach of such patients.Materials and Methods: We retrospectively examined primary abdominal tuberculosis owned seven cases diagnosed with clinical,radiological, microbiological, and evenly histopathological methods in five years duration. All of them examined with laparotomyto direct visualization, lymph node biopsy, culture material, appendectomy, and clean of pathologic materials. Antituberculoustreatment was begun following surgery.Results: Historical examination knowledge as that one of the patient’s mother treated for active tuberculosis, the others haveabdominal lymphadenitis. Mesenteric lymphadenomegaly and peritoneal fluid collection detected all patients; but appendicolitis(n=1) and mesenteric inflammation (n=1) diagnosed additional pathologies by ultrasonography and computed tomography. Noneof them have thoracic involvement. The peritoneal culture was positive in one patient. Lymph node biopsy proved caseificationnecrosis. Specific whitish tubercles and lymph nodes observed during surgery of six patients. Histopathological diagnosis wastuberculosis of all patients. All patients completely healed with surgery plus anti-tuberculosis therapy without complications.Conclusion: Effective radiological, microbiological, and histopathological examinations are essential for current diagnosis forabdominal tuberculosis, although it is very rare. Laparotomy/laparoscopy should be done for urgent, complicated, and undiagnosedcases for early treatment to reduce of morbidity, mortality, and complications.

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