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KMID : 0816120020050020181
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Korean Journal of Pediatric Gastroenterolology and Nutrition
2002 Volume.5 No. 2 p.181 ~ p.185
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A Case of Tuberculous Peritonitis Mimicking Surgical Abdomen
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Kim Hyun-Jin
Kim Hae-Soon
Seo Jung-Wan
Choi Kum-Ja
Lee Sun-Wha
Sung Sun-Hee
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Abstract
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Childhood tuberculous peritonitis is difficult to diagnose especially in cases without pulmonary involvement. It may present as mechanical ileus, perforation, simulating acute appendicitis, enterocolitis or intusussception. Early diagnosis in
children may be difficult, largely because of variable vague symptoms and nonspecific signs. Surgery has often been required for pathologic confirmation. We have experienced a case of tuberculous peritonitis presenting with abdominal pain, abdominal distension and persistent high fever in a 10-year-old boy who was diagnosed by explo- laparotomy and pathologic confirmation from biopsy specimen from omentum. The patient was treated with antituberculous drugs and recovered uneventfully.
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KEYWORD
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Tuberculous peritonitis, Child
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