机构地区：[1]Department of Pediatric Surgery, University Hospital Center Hassan II, Fez, Morocco
出 处：《Open Journal of Pediatrics》2020年第4期661-665,共5页儿科学期刊（英文）
摘 要：<strong>Backgroun</strong><strong>d</strong><strong></strong><strong>:</strong><span><span><span style="font-family:""><span style="font-family:Verdana;"> Tuberculosis is still a public health problem in the third world. The peritoneal localization is common even in pediatric patients. The </span><span style="font-family:Verdana;">macroscopics</span><span style="font-family:Verdana;"> 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.</span><b><span style="font-family:Verdana;"> Case report:</span></b><span style="font-family:Verdana;"> A 10-year-old girl </span><span style="font-family:Verdana;">who</span><span style="font-family:Verdana;"> presented with a painless inguinal hernia. </span><span style="font-family:Verdana;">In</span><span style="font-family:Verdana;"> per operatory, there was a granulomatous inflammation of the </span><span style="font-family:Verdana;">vaginalis</span><span style="font-family:Verdana;"> 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. </span><b><span style="font-family:Verdana;">Discussion:</span></b><span style="font-family:Verdana;"> 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. </span><b><span style="font-family:Verdana;">Conclusion:</span></b><span style="font-family:Verdana;"> This revelation mode of peritoneal tuberculosis by inguinal hernia is exceptional but possible.</span></span></span></span><strong>Backgroun</strong><strong>d</strong><strong></strong><strong>:</strong><span><span><span style="font-family:""><span style="font-family:Verdana;"> Tuberculosis is still a public health problem in the third world. The peritoneal localization is common even in pediatric patients. The </span><span style="font-family:Verdana;">macroscopics</span><span style="font-family:Verdana;"> 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.</span><b><span style="font-family:Verdana;"> Case report:</span></b><span style="font-family:Verdana;"> A 10-year-old girl </span><span style="font-family:Verdana;">who</span><span style="font-family:Verdana;"> presented with a painless inguinal hernia. </span><span style="font-family:Verdana;">In</span><span style="font-family:Verdana;"> per operatory, there was a granulomatous inflammation of the </span><span style="font-family:Verdana;">vaginalis</span><span style="font-family:Verdana;"> 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. </span><b><span style="font-family:Verdana;">Discussion:</span></b><span style="font-family:Verdana;"> 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. </span><b><span style="font-family:Verdana;">Conclusion:</span></b><span style="font-family:Verdana;"> This revelation mode of peritoneal tuberculosis by inguinal hernia is exceptional but possible.</span></span></span></span>
关 键 词：INGUINAL HERNIA TUBERCULOSIS
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