Journal
PAEDIATRICS AND INTERNATIONAL CHILD HEALTH
Volume 38, Issue 1, Pages 69-72Publisher
TAYLOR & FRANCIS LTD
DOI: 10.1080/20469047.2016.1265233
Keywords
Intestinal perforation; tuberculosis; peritonitis; children; earthquake; Nepal
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A 14-year-old Nepalese girl presented with fever, abdominal pain and vomiting. She was living with her family in a temporary settlement camp following the earthquake in Nepal in 2015. She had had abdominal pain for 2 months and fever for 1 month. Abdominal examination suggested acute peritonitis. At laparotomy, three ileal perforations were detected and histopathology demonstrated caseous granulomas. Her father had sputum-positive pulmonary tuberculosis. She was diagnosed with abdominal tuberculosis and responded well to anti-tuberculosis chemotherapy. Intestinal perforation is a rare complication of tuberculosis in children.
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