DOI: 10.36347/sjmcr.2024.v12i06.040

Pages: 1129-1131

Umbilical fistula following peritoneal tuberculosis is rare in children. Few cases of umbilical or parietal fistulas have been described in children and adults occurring in the context of peritoneal tuberculosis. This is a report about a case of abdominal tuberculosis revealed by an umbilical fistula treated in pediatric surgical emergency department of Rabat. This is a 13-year-old girl with a family history of pulmonary tuberculosis. She consulted for abdominal pain associated with umbilical discharge. Symptoms had evolving for 2 years. She benefited a treatment by antibiotics on suspected umbilical abscess without improvement. Abdominal CT scan noted collection under the umbilical attached to a digestive structure fistulized in the skin suggesting abscess or umbilical fistula and multiple calcified peritoneal granulations. All laboratory tests in search of tuberculosis were negative. Exploratory laparotomy was done by trans-umbilical approach and discovered a parietal retro-umbilical mass extending to the pelvic level above the bladder which was resected. The expert discomfort and biopsy result was positive for tuberculosis, and anti-tuberculosis treatment marked good improvement.