JOURNAL OF JAPAN SOCIETY FOR ENDOSCOPIC SURGERY Volume 24, Issue 1 (January 2019)
Japanese

A case of tuberculous peritonitis diagnosed early by laparoscopic tissue biopsy Keizo FUJITA 1 , Satoshi SUEOKA 1 , Fumiya SATO 1 , Takahiro SHINOZUKA 1 , Mitsuru SAKAI 1 , Jiro NAGATA 1 1Department of Surgery, Ichinomiya Municipal Hospital Keyword: 結核性腹膜炎 , 肺結核 , 腹腔鏡 pp.58-65
Published Date 2019/1/15
DOI https://doi.org/10.11477/mf.4426200666
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 We encountered a case of tuberculous peritonitis, which was diagnosed and treated early based on laparoscopic examination. The patient was a 74-year-old woman who had fever, and computed tomography demonstrated infiltration in the right apical pulmonary region, ascites, and peritoneal thickening. The T-SPOT. TB examination results were positive; thus, pulmonary tuberculosis accompanied by tuberculous peritonitis was suspected. Because Mycobacterium tuberculosis was not detected in both the sputum and ascites, laparoscopic examination was performed. Diffuse white nodes were observed on the peritoneal membrane, and histopathological examination of the biopsied tissue of the membrane showed epithelioid cell granulomas and Langhans giant cells. Therefore, a diagnosis of tuberculous peritonitis was established and anti-tuberculosis therapy was initiated. Detecting M. tuberculosis in ascites of patients with tuberculous peritonitis is difficult ; thus, laparoscopic examination is helpful to confirm the diagnosis and initial treatment.


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基本情報

13446703.24.1.jpg
日本内視鏡外科学会雑誌
24巻1号 (2019年1月)
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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