Small Bowel Ultrasound Findings of Recurrent Colic Abdominal Pain due to Peritonitis Tuberculosis among the Children

Abstract

To know small bowel wall ultrasound findings of recurrent abdominal colic pain due to peritonitis tuberculosis among the children. This study was conducted at Maternity Emma Poeradiredja Women Hospital Bandung from January,1st 2005 to April30th 2009 The children with disseminated tuberculosis (lung, cervical lymphadenopathy and tuberculous dry type peritonitis) diagnosed based on clinically, laboratory, thorax photo, PPD test and ultrasound. The recurrent colic abdominal pain and tenderness were associated with the doughy abdomen and dullness percussion area of dam-board phenomena of tuberculous peritonitis. Small bowel wall thickness examined with transabdominal ALOKA Prosound SSD3500 on the tympanic area and dullness area according of dam-board phenomena. 82 children of 2,5–13years, mean 6,2 years, 44(53,66) boys, 38(46,34%) girls. The mean of small bowel wall thickness on the tympanic area was 0, 16 cm otherwise on dullnes area was 0,42 cm (2,62 times than tympanic area). Hypoperistaltic movement, loss differentiation of the wall layers, irregular margin of the small bowel wall, and irregular oval/round lesions (patchy echogenic nonshadowing with an irregular rim of lower echodensity) within the affected area. Small bowel wall thickening with some characteristic were found on affected dullness area of peritonitis tuberculosis among the children.