GASTROENTEROLOGICAL ENDOSCOPY
Online ISSN : 1884-5738
Print ISSN : 0387-1207
ISSN-L : 0387-1207
A CASE OF BENEFICIAL USE OF LAPAROSCOPIC BIOPSY FOR THE DIAGNOSIS OF TUBERCULOUS PERITONITIS
Yoshinor MORIAkira IWAITakanori INAGAKIKoichiro UENOTakashi JOHHirotaka OHARATomoyuki NOMURATakahira NAKAZAWAMakoto ITOH
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2003 Volume 45 Issue 11 Pages 2215-2219

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Abstract
A 70-year-old man was admitted our hospital with right flank pain and ascites. Tuberculous peritonitis was suspected, because of the high ADA level of ascites. For an accuratediagnosis, laparoscopy was performed. A laparoscopic examination showed some tiny white nodules in the peritoneum. Biopsy specimens of peritoneum revealed epithelioid cellgranulomas and Langhans'giant cells. Laparoscopic examination was useful for the clinicaldiagnosis of tuberculous peritonitis. Recently, the incidence of tuberculous peritonitis has beendecreasing since the introduction of effective chemotherapy against Mycobacterium Tuberculosis. The diagnosis of tuberculous peritonitis is quite difficult because the symptoms are notspecific for the disease and the incidence of occurrence are relatively rare. We report a caseof tuberculous peritonitis with a review of 72 cases of tuberculous peritonitis seen in theJapanese literature.
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© Japan Gastroenterological Endoscopy Society
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