1997 Volume 58 Issue 2 Pages 461-465
We have experienced two operative cases of juvenile tuberculous peritonitis. Case 1: A 17-year-old male was admitted to the hospital because of ascites and fever. At first, he was suspected of having a malignant lymphoma of the ileoceum by colonfiberscopy. However, Mycobacterium tuberculosis was found in the sptum, gastric juice and stool. After chemotherapy, Mycobacterium tuberculosis disappeared, but the patient was operated on for stenosis of the small intestine. On entering the peritoneal cavity the ileocecum formed a lamp of inflammatory mass. Ileocecal resection was carried out, inclusive of stenotic lesions. Case 2: A 20-year-old male underwent a laparotomy for intestinal obstruction of unknown origin at another hospital. Upon laparotomy, he was found out to have severe inflammatory adhesions of the intestine and suspected of Crohn's disease. After performing the tube enterostomy, he was referred to the department because of wound infection and fistula. We dissected that adhesions and closed the fistula. In Both cases, many tuberculotic nodules were seen in the peritoneal cavity.
