Çocuklarda nadir rastlanan karında kitle nedeni: Tüberküloz
Son yıllarda kliniğe başvuran tüberküloz olgularının ve özellikle de akciğer dışı tüberküloz olgularının arttığı gözlenmektedir. Karın tüberkülozlu hastalar 3 ana klinik tabloya sahiptirler. Bunlar intestinal, peritoneal veya mezenterik lenf nodu tutulumu olabilir. Genellikle nonspesifik bulguların ön planda olduğu bu olgularda karında kitle çocuklarda nadir rastlanılan bir klinik tablodur. Bu çalışmada, karın tüberkülozu teşhisinin cerrahi girişim öncesi zor olduğu ve çocuklardaki karında kitle nedenleri arasında, akılda tutulması gerektiğinin vurgulanması ve bu olgulara klinik yaklaşımın gözden geçirilmesi amaçlanmıştır.
A rare cause of abdominal mass in children: Tuberculosis
In recent years, the increasing incidence of tuberculosis particularly with extrapulmonary involvement has been reported. Patients with abdominal tuberculosis have one of three types of disease that is, intestinal, peritoneal, or mesenteric lymph node involvement genital and peritoneal presentation is increasingly reported in recent years. The findings of abdominal tuberculosis are generally nonspecific and an abdominal mass as a finding is very rare in children. We aimed to point out that the diagnosis of abdominal tuberculosis is not easy prior to surgery and must always be kept in mind in differential diagnosis of an abdominal mass in children. In addition, we discuss the clinical presentation of abdominal tuberculosis in children.
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