Childhood Tuberculosis is a public health emergency in Nigeria. Abdominal tuberculosis (TB) is one of the commonest forms of extrapulmonary TB with nonspecific and protean clinical manifestations. We present a 5 year old girl with fever of two weeks, abdominal pain and swelling of three days duration and vomiting of two days duration. Other symptoms were anorexia, generalised body weakness and weight loss. Her significant physical findings were, moderate pallor, underweight, submandibular lymphadenopathy, abdominal distension, doughy abdomen and a tender tubular mass extending from the right lumbar to right iliac region. Her significant investigation results were a manteoux of 18mm, thickened ascending colon on abdominopelvic ultrasound scan and a histologic picture of caseous granuloma from a mesenteric lymphnode biopsy. Exploratory laparotomy revealed multiple caseation on the distal ileum, caecum and adjoining mesentery with a partially occluded caecal and ileal lumen and multiple mesenteric lymph node enlargement with a viable gut. A diagnosis of partial intestinal obstruction secondary to ileocaecal TB was made and she was managed with short course anti-tuberculous medication for a total of six months and had a good response.

  In conclusion abdominal TB is still seen in Nigerian children. A high index of suspicion is essential for its’ diagnosis. Anti-tuberculous medication is still the treatment of choice and surgery should be reserved for diagnosis and treatment of complications.

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Citation

Citation: Oloyede IP., et al. “Ileocaecal Tuberculosis in A Nigerian Child: A Case Report”. Acta Scientific Paediatrics 3.3 (2020): 66-70.

Copyright

Copyright: © 2020 Oloyede IP., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.