Alia Yassine Kassab, Sarah Loubaris, Mehdi Salmane, Lina Lasri, Fatima Zohra Benbrahim, Lina Belkouchi, Siham El Haddad, Nazik Allali, Latifa Chat
Journal: Medpeer Publisher
ISSN: 3066-2737
Volume: 3
Issue: 3
Date of Publication: 2026/03/05
Abdominal tuberculosis remains a significant cause of morbidity in pediatric populations, particularly in endemic regions. Lymph node involvement with central necrosis and associated peritoneal infiltration represent characteristic imaging features.
We report the case of a 7-year-old child undergoing treatment for pulmonary tuberculosis who presented with abdominal pain and fever. Contrast-enhanced computed tomography (CT) of the abdomen and pelvis demonstrated conglomerate necrotic lymphadenopathy in the hepatic hilum, inter-aortocaval region, mesentery, and left renal space. The periportal nodal mass exerted mass effect on the common bile duct and pancreatic head. Associated findings included duodenal and transverse colonic wall edema, moderate ascites with peritoneal thickening, and mild pericardial effusion.
These findings were consistent with extensive abdominal tuberculous lymphadenitis and peritoneal involvement, highlighting the essential role of CT in detecting complications and guiding management.
Abdominal tuberculosis, Necrotic lymphadenopathy, Pediatric CT, Case report
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