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Tuberculous Peritonitis Probably Infected Through Small Ulcers in the Terminal Ileum, Report of a Case Yasuhiro Takaki 1 , Toshihiro Sakurai 1 , Suketo Sou 1 , Toshiyuki Matsui 1 , Tsuneyoshi Yao 1 1Department of Gastroenterology, Fukuoka University Chikushi Hospital Keyword: 腸結核 , 腹膜結核 , 微小潰瘍 , 腹水 , 血清CA125 pp.559-564
Published Date 1995/3/25
DOI https://doi.org/10.11477/mf.1403105384
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 A 78-year-old female was admitted to our hospital with complaints of abdominal pain and ascites. Her ascites was transudate and cytologically lymphocytes were predominant. Moreover, serum CA125 was markedly elevated. Gastrointestinal radiography and endoscopic examination showed scattered small ulcers in the reginal terminal ileum and a laparoscopic examination showed some tiny white nodules in the peritoneum adjacent to the terminal ileum. Histopathologically, because of caseation, necrosis was found in these nodules, and we diagnosed definitely that her peritonitis tuberculosis was infected through tuberculous enteritis. Abdominal tuberculosis is classified into tuberculous enteritis and peritoneal tuberculosis. However the route of infection of the latter has not been elucidated clearly. Considering the route of infection of the presented case, it can be said that small ulcers have been overlooked among peritoneal tuberculosis.


Copyright © 1995, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

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