Abdominal tuberculosis in children: a systematic review on current advances.

IF 1.5 3区医学 Q2 PEDIATRICS

Pediatric Surgery International Pub Date : 2025-06-18 DOI:10.1007/s00383-025-06080-0

Vinod Raj, Shilpa Sharma

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引用次数: 0

Abstract

Aim: To study the published literature on abdominal tuberculosis in children in the last 10 years.

Method: A PubMed search was done on 27th March 2025 with keywords "pediatric abdominal tuberculosis", using the filter of last 10 years. The articles were screened for relevance and the data were compiled on gender, age, presenting complaints, diagnosing criteria, associated pathologies, surgical management, complications and outcomes.

Results: The search yielded 194 articles. After screening for relevance, 143 articles were excluded. 51 articles were studied. A total of 807 cases were studied in 51 articles, with female preponderance. The largest series was of 218 children. The age was predominantly in the adolescent period. The youngest child was an 8-day neonate with congenital tuberculosis. Predominant symptoms included fever, pain abdomen, abdominal distension, constipation, diarrhea, ascites and weight loss. Unusual presentations included splenic microabscess, liver abscess in HIV positive cases, deep vein thrombosis, mesenteric artery stenosis and intracranial sinus thrombosis. Mycobacterial cultures showed 50-75% positivity. Concomitant pulmonary tuberculosis was reported in 6 studies. The management included medical with or without surgical management. The main indication for surgical management was intestinal perforation.

Conclusion: Pediatric abdominal tuberculosis is an enigma due to the vague symptoms and needs to be differentiated from other conditions.

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儿童腹部结核：对当前进展的系统回顾。

目的：对近10年来发表的有关儿童腹部结核的文献进行分析。方法：于2025年3月27日检索PubMed，关键词为“小儿腹部结核”，使用近10年的筛选。对文章进行相关性筛选，并对性别、年龄、主诉、诊断标准、相关病理、手术处理、并发症和结果进行数据汇编。结果：检索出194篇文章。筛选相关性后，143篇文章被排除。研究了51篇文章。51篇文章共807例，以女性为主。最大的一组是218名儿童。年龄主要集中在青少年时期。最小的孩子是8天大的新生儿，患有先天性肺结核。主要症状包括发热、腹痛、腹胀、便秘、腹泻、腹水和体重减轻。异常表现包括脾微脓肿、HIV阳性患者肝脓肿、深静脉血栓形成、肠系膜动脉狭窄和颅内窦血栓形成。分枝杆菌培养阳性50-75%。6项研究报告合并肺结核。治疗方法包括内科加或不加手术治疗。手术治疗的主要指征是肠穿孔。结论：小儿腹部结核症状模糊，是一个谜，需与其他疾病鉴别。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Pediatric Surgery International 医学-外科

CiteScore

3.00

自引率

5.60%

发文量

215

审稿时长

3-6 weeks

期刊介绍： Pediatric Surgery International is a journal devoted to the publication of new and important information from the entire spectrum of pediatric surgery. The major purpose of the journal is to promote postgraduate training and further education in the surgery of infants and children. The contents will include articles in clinical and experimental surgery, as well as related fields. One section of each issue is devoted to a special topic, with invited contributions from recognized authorities. Other sections will include: -Review articles- Original articles- Technical innovations- Letters to the editor