Abstract

MOGOLLON, Germán et al. Tuberculous peritonitis with intestinal perforation in the pediatric population at a third level of care hospital in Bogotá, Colombia. rev. colomb. cir. [online]. 2017, vol.32, n.2, pp.94-101. ISSN 2011-7582.  https://doi.org/10.30944/20117582.12.

Introduction: Tuberculous peritonitis is a rare type of presentation of tuberculosis in pediatric patients with comorbidities associated with chronic immunosuppression. In this article, we present a case of tuberculous peritonitis managed at our institution and a critical review of the literature. Materials and methods: Descriptive observational study of patients who underwent surgery with the intraoperative finding of generalized peritonitis in the period June 1, 2004 to June 30, 2015. Only one patient was confirmed with tuberculous peritonitis. Results: 486 patients with generalized peritonitis were studied. The diagnosis of tuberculous peritonitis was confirmed only in a 4 year old male patient with nephrotic syndrome and pulmonary tuberculosis. The patient had intestinal perforation and required an emergency surgical intervention. He died on day 51 of hospitalization in the ICU. Discussion and conclusions: Peritoneal tuberculosis is a rare entity in the pediatric population, but it should be considered in patients with risk factors for immunosuppression, nexus of tuberculosis infection and ascites, accompanied by abdominal pain and fever. Early diagnosis improves the patient´s prognosis, and peritoneal biopsy is the gold standard to confirm this entity, whose incidence is 0.2% at our institution.

Keywords : Mycobacterium tuberculosis; tuberculosis; gastrointestinal; peritonitis; tuberculous; intestine; small; intestinal perforation.

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