Tuberculous peritonitis - pediatric


A case to catch the unsuspected.   All clinical assumption initially on this being a pediatric malignancy and peritoneal nodules to fit with this on the CT.

Often these patients have no fever and weight loss, which also tends towards a malignant process.

The child underwent surgical excision of one of the peritoneal nodules.   The thickened inflammed peritoneum prevented diagnostic laproscopy.

Later during admission it is established the mother received TB treatment 1 year prior.

TB - the great multisystem mimicker.