Shah I, Rahangdale A
Pediatric TB Clinic, B. J. Wadia Hospital for Children, Mumbai, India.
Ann Trop Paediatr. 2010;30(3):241-3. doi: 10.1179/146532810X12786388978805.
A 6-year-old boy presented with a 1-month history of fever followed by abdominal distension, constipation and bilious vomiting for 2 days. The clinical impression was of intestinal obstruction. At exploratory laparotomy, there was an ileal perforation secondary to tuberculosis. There are many case reports of tubercular ileal perforation in adults but in children it is very rare.
一名6岁男孩,有1个月发热病史,随后出现腹胀、便秘及胆汁性呕吐2天。临床诊断为肠梗阻。在剖腹探查术中,发现回肠穿孔继发于结核。成人结核性回肠穿孔有很多病例报告,但在儿童中非常罕见。