Diagnosis of Peritoneum Tuberculosis during a Herniotomy ()
ABSTRACT
Background: Tuberculosis is still a public health problem in the third world. The
peritoneal localization is common even in pediatric patients. The macroscopics aspects of the peritoneal and/or
intestine granulations are pathognomonic. However, its diagnosis by an inguinal
hernia is exceptional. Our work aims to discuss the particularities of this
unusual presentation of peritoneal tuberculosis. Case report: A 10-year-old
girl who presented with a painless
inguinal hernia. In per operatory, there
was a granulomatous inflammation of the vaginalis process. The diagnosis of tuberculosis was confirmed by histopathologic study
and the patient started the anti-tuberculosis drugs. After one year of
follow-up, the girl is good and has no symptoms. Discussion: Opinions
are divided when to cure the hernia. Is it necessary to do a laparoscopic
exploration and biopsy then to secondarily cure the hernia; or go through the
inguinal way to cure the hernia and do a peritoneal biopsy? In our case, we
performed by the same surgical time the cure of the hernia and the biopsy and
it did not impact negatively the follow-up. Conclusion: This revelation
mode of peritoneal tuberculosis by inguinal hernia is exceptional but possible.
Share and Cite:
Oualili, I. , Khattala, K. , Balde, F. , Boutahar, A. , Mahmoudi, A. and Bouabdellah, Y. (2020) Diagnosis of Peritoneum Tuberculosis during a Herniotomy.
Open Journal of Pediatrics,
10, 661-665. doi:
10.4236/ojped.2020.104068.
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