Ingestion of the tuberculosis germ by drinking unpasteurized milk of a cow infected with TB is one of the mechanisms of abdominal TB.
Abdominal TB can also occur by spread of the TB bacillus from the lungs to the intestines by the blood stream.
In 2/3 rd of children, there is predominant involvement of the digestive system. Involvement of the abdominal cavity (peritoneum) occurs in remaining of the patients. Involvement of only the lymph glands in the abdomen is rare.
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