A Rare Case: Intussusception In A 8 -Month-Old-Girl With Intestinal Tuberculosis
Abstract
ABSTRACT
Backgrounds Intestinal TB can be dif?cult to diagnose due to absence of a particular pattern of symptoms and signs. Definitive diagnosis is based primarily upon histology, Ziehl-Neelsen staining for acid-fast bacilli, and culture.Intussusceptions associated with intestinal TB has been poorly documented in children.
Case MA, 8 -month-old girl, weighing 8.4 kg complaining of repetitive vomiting, no flatus and defecation followed by abdominal distention, a solid palpaple mass and increasing of the bowel sounds. Abdominal X-ray showed stepladder signs, edematous intestinal mucosa, no gas distributed in the pelvic area. Abdominal USG revealed a sausage and doughnut signs. An open exploratory laparotomy showed intussusceptions along the ileocaecal region with multiple bands as the lead point. Resection and ileostomy was performed. The pathological ileum sample was revealed a caseosa TB process. The chest Xray showed specific process. The TB score was 6. The patient then administered antituberculosis drug regimen.
Conclusion A rare case of intestinal tuberculosis has been successfully diagnosed. In this endemic country of TB, it should be also suspected in patients with intussusception.
Keyword : intussusception, intestinal tuberculosis
Full Text:
PDFReferences
C. Robert Horsbuhrg. Epidemiology of Tuberculosis. UpToDate 17.1. 2009
Louis-Michel WKS and Norman EM. Tuberculous Enteritis. UpToDate 17.1. 2009
Mohammad Sultan Khuroo and Naira Sultan Khuroo. Abdominal Tuberculosis. Tuberculosis. (Ed)M.M.Madkour. 2004;p659-674.
V.K.Kapoor.AbdominalTuberculosis: Misconception, Myths and Facts. Ind. J. Tub., 1991, 38, 119.
H.K. Chuttaniand S.K. Sarinyuh. Intestinal Tuberculosis. Review Article. Ind. J. Tub., 1985, 32, 117.
World Health Organization. Global Tuberculosis Control. A Short Update to The 2009 report. 2009.
M.P. Sharma and Vikram Bhatia. Abdominal tuberculosis. Indian J Med Res 120, October 2004, pp 305-315.
8. Rita Sood. Diagnosis of Abdominal Tuberculosis : Role of Imaging. Journal, Indian Academy of Clinical Medicine. July-September 2001; 2(3): 169-177.
MU Shenoy, MS Kulkarni, R Aradada, VK Kapur. Unusual Presentation of Tuberculosis in Children. IndianPaediatrics, Delhi. 1991; 188-94.
Gloria delPozo et al. Intussusception in Children: Current Concept in Diagnosis and Enema Reduction. RadioGraphic 1999; 19: 299-329
Mahajan D, Nigam S, Kohli K. Abdominal Tuberculosis Presenting as Ileocolic intussusception in an infant.PediatrDevPathol. 2007 Nov-Dec;10(6):477-80.
De Steenwinkel et al. Tuberculosis Mimicking Ileocecal Intussusception in a 5-Month-Old Girl. Pediatrics 2008;121;e1434-e1437.
Nastiti NR, Darfioes B, Makmuri MS, Cissy BK. PedomanNasional Tuberculosis Anak. Edisi ke-2. Jakarta. 2005.
PerkumpulanPemberantasanTuberkulosis Indonesia. Jurnal Tuberculosis Indonesia. September 2006; 3(2):1-29.
NesliBasgoz. Pathogenesis and epidemiology of miliary tuberculosis. UpToDate 17.1.2009
Refbacks
- There are currently no refbacks.
