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Two case reports of peritoneal tuberculosis rapidly diagnosed by laparoscopic examination Yusuke TAKI 1 , Shinsuke SATO 1 , Akihiko TAKAGI 1 , Masaya WATANABE 1 , Noriyuki OBA 1 , Masakazu TAKAGI 1 1Department of Gastrointestinal Surgery, Shizuoka General Hospital Keyword: 結核性腹膜炎 , 診断的腹腔鏡 , 抗酸菌培養検査 pp.807-812
Published Date 2017/11/15
DOI https://doi.org/10.11477/mf.4426200482
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Two patients with peritoneal tuberculosis were rapidly diagnosed by laparoscopic examination. A 47-year-old man presented with a 4-month history of fever. A CT scan showed omental thickness, but no tumorous region was detected by detailed examination. Diagnostic laparoscopy was performed and he was diagnosed as tuberculous peritonitis by intraoperative frozen section and polymerase chain reaction of tuberculosis(Tb-PCR) on the next day. An 87-year-old woman with fever came to our emergency department. A CT scan showed ascites and omental thickness, but no malignant disease was detected by detailed examination. Through diagnostic laparoscopy, she was diagnosed as tuberculous peritonitis by intraoperative frozen section and Tb-PCR on the next day. Diagnostic laparoscopy is useful for the diagnosis of tuberculous peritonitis in the aspect of sensitivity and rapidity.


Copyright © 2017, JAPAN SOCIETY FOR ENDOSCOPIC SURGERY All rights reserved.

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電子版ISSN 2186-6643 印刷版ISSN 1344-6703 日本内視鏡外科学会

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