1991 Volume 51 Issue 6 Pages 678-682
A 67-year-old female complaining of abdominal fullness was admitted to our hospital. Physical examination revealed the accumulation of ascitic fluid, and laboratory data showed non-specific inflammatory changes with the elevations of adenosine deaminase (ADA) and CA-125 levels in both serum and ascites. Definite diagnosis of tuberculous peritonitis was made by laparoscopy, which showed disseminated tuberculous nodules, and was confirmed by the histological examination of concomitantly obtained biopsied specimens. Clinical symptoms and signs improved with anti-tuberculous therapy, and serum levels of ADA and CA-125 normalized. It was suggested that determinations of ADA and CA-125 in serum and ascitic fluid was useful for the diagnosis of tuberculous peritonitis, and moreover for the longterm follow up study.
