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Journal of Indian Association of Pediatric Surgeons
     Journal of Indian Association of Pediatric Surgeons
Official journal of the Indian Association of Pediatric Surgeons         
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Year : 1999  |  Volume : 4  |  Issue : 3  |  Page : 162-165

Unusual presentation of ileal tuberculous perforation


Department of Pediatric Surgery KEM Hospital, Parel, Mumbai 400012, India

Correspondence Address:
S K Laxmikant
Department of Pediatric Surgery KEM Hospital, Parel, Mumbai 400012
India
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Source of Support: None, Conflict of Interest: None


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ABSTRACT: A 8 year old female presented with huge abdominal distention for 3 months but with no acute symptoms. Abdomen was explored after initial tube drainage and conservative therapy. A huge thick walled pseudocyst occupied the whole anterior abdomen and posterior wall of it covered the intestines akin to what is seen in giant cystic meconium peritonitis in neonates. After excising the pseudocyst a single small ileal perforation was located and local resection with end to end anastomosis was successfully done. Surprisingly, except for the caseous mesenteric nodes, there were no other manifestations of intestinal tuberculosis. The patient recovered with antitubercular drugs. Such late and unusual presentation of tubercular perforation with unusual operative findings has not yet been reported.






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  2005 - Journal of Indian Association of Pediatric Surgeons | Published by Wolters Kluwer - Medknow 

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