Pediatric Radiology

, Volume 24, Issue 7, pp 473–477 | Cite as

Abdominal tuberculosis in children

  • D. S. Ablin
  • K. A. Jain
  • E. M. Azouz


Four boys with abdominal tuberculosis, one of whom had acquired immunodeficiency syndrome, are presented. Abdominal imaging findings on plain radiography, ultrasonography, computed tomography, and gastrointestinal contrast studies included tuberculous peritonitis and ascites in all patients, tuberculous adenopathy in two, gastrointestinal tuberculosis in two, and omental tuberculosis in two. The radiographic features particularly characteristic of abdominal tuberculosis were: (1) low attenuating adenopathy with rim enhancement, (2) omental or ileocecal inflammatory mass, (3) high density ascites, and (4) gastrointestinal enteritis involving the ileocecal region. All patients had acidfast bacilli identified in cultures of bodily fluids and/or pathologic specimens and three patients had cultures positive forMycobacterium tuberculosis. The patient with a negative culture had a positive PPD skin test and a surgical specimen showing caseating granulomata and acid-fast bacilli in the omentum. The radiologist must maintain a high degree of suspicion for abdominal tuberculosis particularly in normal or immunosuppressed children with acquired immunodeficiency syndrome. Fine needle aspiration and biopsy of abdominal adenopathy, inflammatory mass or ascites may be necessary for diagnosis.


Tuberculosis Bacillus Peritonitis Acquire Immunodeficiency Syndrome Plain Radiography 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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  1. 1.
    Thoeni RF, Margulis AR (1979) Gastrointestinal tuberculosis. Semin Roentgenol 14: 283–294PubMedGoogle Scholar
  2. 2.
    Denath FM (1990) Abdominal tuberculosis in children: CT findings. Gastrointest Radiol 15: 303–306PubMedGoogle Scholar
  3. 3.
    Epstein BM, Mann JH (1982) CT of abdominal tuberculosis. AJR 139: 861–866PubMedGoogle Scholar
  4. 4.
    Bhansali SK (1977) Abdominal tuberculosis. Experience with 300 cases. Am J Gastroenterol 67: 324–337.PubMedGoogle Scholar
  5. 5.
    Dwiwedi BD (1982) Abdominal tuberculosis in children. Prog Pediatr Surg 15: 169–171PubMedGoogle Scholar
  6. 6.
    Madhok P, Kapur VK (1982) Abdominal tuberculosis in children. Prog Pediatr Surg 15: 173–180PubMedGoogle Scholar
  7. 7.
    Mitra SK, Yadav K, Mehta S, Kumar L, Pathak IC (1978) Abdominal tuberculosis in children. Indian J Surg 40: 96–100Google Scholar
  8. 8.
    Nagi B, Duggal R, Gupta R, Mehta S (1987) Tuberculous peritonitis in children. Pediatr Radiol 17: 282–284PubMedGoogle Scholar
  9. 9.
    al-Hadeedi S, Walia HS, al-Sayer HM (1990) Abdominal tuberculosis. Can J Surg 33: 233–237PubMedGoogle Scholar
  10. 10.
    Chavalittamrong B, Talalak P (1982) Tuberculous peritonitis in children. Prog Pediatr Surg 15: 161–167.PubMedGoogle Scholar
  11. 11.
    Fraki O, Peltokallio P (1975) Intestinal and peritoneal tuberculosis: report of two cases. Dis Colon Rectum 18: 685–693PubMedGoogle Scholar
  12. 12.
    Pombo F, Rodriquez E, Mato J, Pere-Fontan J, Rivera E, Valvuena L (1992) Patterns of contrast enhancement of tuberculous lymph nodes demonstrated by computed tomography. Clin Radiol 46: 13–17PubMedGoogle Scholar
  13. 13.
    Brown JH, Berman JJ, Blickman JG, Chew FS (1993) Primary ileocecal tuberculosis. AJR 160: 278PubMedGoogle Scholar
  14. 14.
    Lee DH, Lim JH, Ko YT, Yoon Y (1991) Sonographic findings in tuberculous peritonitis of wet-ascitic type. Clin Radiol 44: 306–310PubMedGoogle Scholar
  15. 15.
    Hulnick DH, Megibow AJ, Naidich DP, Hilton S, Cho KC, Balthazar EJ (1985) Abdominal tuberculosis: CT evaluation. Radiology 157: 199–204PubMedGoogle Scholar
  16. 16.
    Zirinsky KZ, Auh YH, Kneeland JB, Rubenstein WA, Kazam E (1985) Computed tomography, sonography, and MR imaging of abdominal tuberculosis. J Comput Assist Tomogr 9: 961–963PubMedGoogle Scholar
  17. 17.
    Balthazar EJ, Gordon R, Hulnick D (1990) Ileocecal tuberculosis: CT and radiologic evaluation. AJR 154: 499–503PubMedGoogle Scholar
  18. 18.
    Dahlene DH, Stanley RJ, Koehler RE, Shin MS, Tisller JMA (1984) Abdominal tuberculosis: CT findings. J Comput Assist Tomogr 8: 443–445PubMedGoogle Scholar
  19. 19.
    Banerjee AK, Coltart DJ (1990) Abdominal tuberculosis mimicking lymphoma in a patient with sickle cell anaemia. Br J Clin Pract 44: 660–661PubMedGoogle Scholar
  20. 20.
    Perich J, Ayuso MC, Vilana R, Ayuso JR, Cardenal C, Mallofré C (1990) Disseminated lymphatic tuberculosis in acquired immunodeficiency syndrome: computed tomography findings. Can Assoc Radiol J 41: 353–357PubMedGoogle Scholar
  21. 21.
    Hanson RD, Hunter TB (1985) Tuberculous peritonitis: CT appearance. AJR 144: 931–932PubMedGoogle Scholar
  22. 22.
    Radin DR (1991) IntraabdominalMycobacterium tuberculosis vsMycobacterium avium-intracellulare infections in patients with AIDS: distinction based on CT findings. AJR 156: 487–491PubMedGoogle Scholar
  23. 23.
    Rosengart TK, Coppa GF (1990) AbdominalMycobacterium infections in immunocompromised patients. Am J Surg 159: 125–131PubMedGoogle Scholar

Copyright information

© Springer-Verlag 1994

Authors and Affiliations

  • D. S. Ablin
    • 1
  • K. A. Jain
    • 1
  • E. M. Azouz
    • 2
  1. 1.University of CaliforniaDavis Medical CenterUSA
  2. 2.Department of RadiologyMcGill University, Montreal Children's HospitalMontrealCanada

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