Paediatric Surgery (Ukraine). 2024. 4(85): 130-135. doi: 10.15574/PS.2024.4(85).130135
Soleiko D. S.¹, Soleiko N. P.², Gorbatyuk O. M.³, Kharchuk L. Y.⁴, Biletska N. E.^5
1National Pirogov Memorial Medical University, Vinnytsya, Ukraine
²CNE "Vinnytsya Regional Children's Clinical Hospital of the Vinnytsya Regional Council", Ukraine
³Shupyk National Healthcare University of Ukraine, Kyiv
⁴CNE "Vinnytsya Regional Clinical Phthisiopulmonology Center of the Vinnytsya Regional Council", Ukraine
⁵CNE "Primary health care center No.5 of Vinnytsya", Ukraine

For citation: Soleiko DS, Soleiko NP, Gorbatyuk OM, Kharchuk LY, Biletska NE. (2024). A clinical case of tuberculous rib damage as an etiological cause of chest
neoplasm in an early age child. Paediatric Surgery (Ukraine). 4(85): 130-135. doi: 10.15574/PS.2024.4(85).130135.
Article received: Sep 16, 2024. Accepted for publication: Dec 10, 2024.

Extrapulmonary tuberculosis is as one of the etiological causes of chest neoplasms in early age children, which does not have marker risk factors for its induction in the human body and specific symptoms. This leads to a significant amount case of hypodiagnosis and the choice of wrong treatment tactics by a pediatric surgeon.
Aim – to analyze the causes of untimely diagnosis and the peculiarities of the diagnostic and therapeutic tactics of neoplasms of tuberculous etiology on the example of a clinical case from one's own practice.
The clinical case is presented the diagnostic and treatment tactic in a patient aged 1 year 3 months with a chest neoplasm of tuberculous genesis, the analysis of which made it possible to determine the reasons for untimely diagnosis and incorrect treatment tactics at the initial stage. The need for a multimodal imaging approach to chest neoplasms, in order to determine its etiology and possible changes in other organs, is presented and substantiated. The effectiveness of complex laboratory diagnostics, which includes molecular genetic research methods, in the case of suspected tuberculous etiology of the inflammatory process, was determined. The possible options and volume of surgical resection of the rib in the case of tuberculous destruction were analyzed.
The research was carried out in accordance with the principles of the Declaration of Helsinki. Parents' informed consent was obtained for children's participation in the study.
The authors declare no conflict of interest.
Keywords: rib, tuberculosis, diagnosis, surgical treatment, children.

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