TITLE:
Diagnosis of Peritoneum Tuberculosis during a Herniotomy
AUTHORS:
I. Oualili, K. Khattala, F. B. Balde, A. Boutahar, A. Mahmoudi, Y. Bouabdellah
KEYWORDS:
Inguinal, Hernia, Tuberculosis
JOURNAL NAME:
Open Journal of Pediatrics,
Vol.10 No.4,
December
4,
2020
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.