The medical diseases of children . ve purposes such a division is quite necessary. TUBERCULOSIS OF DIGESTIVE SYSTEM 139 TUBERCULOUS PERITONITIS. In infancy, tuberculous peritonitis is said to be uncommon by some-observers ; but Dr. Stills statistics show that this is not so, and thatdeath occurs from this condition as in other forms of tuberculosis,most commonly in the second year of life. The peritoneum maybecome infected from the mesenteric glands, but often it would appearfrom post-mortem evidence, that the affection has been from othersources, such as the lungs or bronchial glands. A histo
The medical diseases of children . ve purposes such a division is quite necessary. TUBERCULOSIS OF DIGESTIVE SYSTEM 139 TUBERCULOUS PERITONITIS. In infancy, tuberculous peritonitis is said to be uncommon by some-observers ; but Dr. Stills statistics show that this is not so, and thatdeath occurs from this condition as in other forms of tuberculosis,most commonly in the second year of life. The peritoneum maybecome infected from the mesenteric glands, but often it would appearfrom post-mortem evidence, that the affection has been from othersources, such as the lungs or bronchial glands. A history of injuryto the abdomen is occasionally present, and is possibly an excitingcause of the disease. The clinical types of tuberculous peritonitis are two in number, theplastic and the ascitic ; the former is the more frequent. The early symptoms of tuberculous peritonitis are as a rule not verydefinite. There may be loss of appetite with occasional colicky painsin the abdomen, irregularity of bowels, constipation alternating with. Fig. 28 -Tuberculous Peritonitis, showing enlarged Abdomen and UnfoldedUmbilicus. Dilated Superficial Veins are just visible. diarrhoea, and perhaps some slight rise of temperature. The charac-teristic symptom of the disease—namely, swelling of the abdomen,—gradually becomes noticeable (Fig. 28). In the plastic type, the abdomen is tumid, and presents a peculiardoughy feel to the examining hand, a feeling of softness and a characteristic omental mass is present. This consists ofa firm, sometimes nodular tumour, running across the abdomen justabove the umbilicus, and passing upwards towards the left hypo-chondrium. Owing to its direction and its firm consistence, it maybe mistaken for the lower edge of the liver, but this can usually bemade out with careful palpation at a higher level separate from thetumour. In its earliest stages the omental mass consists of anill-defined soft tumour in the same position. The mass is due tothi
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectpediatrics, bookyear1
