通过腹腔镜检查确定的结核性腹膜炎的临床病程

Clinical course of tuberculous peritonitis determined by laparoscopy.

作者信息

Miyaoka Hiroaki, Uesugi Kazuhiro, Shigematsu Shuichiro, Miyake Teruki, Furukawa Eri, Okita Shunji, Okada Takeshi, Abe Masanori, Murakami Hidehiro, Matsuura Bunzo, Hiasa Yoichi, Onji Morikazu

机构信息

Internal Medicine, Saiseikai Matsuyama Hospital, Matsuyama.

出版信息

Intern Med. 2010;49(4):293-7. doi: 10.2169/internalmedicine.49.2809. Epub 2010 Feb 15.

DOI:10.2169/internalmedicine.49.2809

PMID:20154434

Abstract

We describe laparoscopic findings of tuberculous peritonitis in a 68-year-old man and those at follow-up 8 months later. The initial laparoscopic findings revealed typical yellowish-white nodules on the liver surface, and histological findings showed granulomas with caseous necrosis. Laparoscopy 8 months later showed that anti-tubercular drugs had diminished the nodules and adhesions with a fibrin net appearance were evident. Laparoscopy and biopsy are useful for a rapid diagnosis of tuberculous peritonitis.

摘要

我们描述了一名68岁男性结核性腹膜炎的腹腔镜检查结果以及8个月后的随访结果。最初的腹腔镜检查结果显示肝脏表面有典型的黄白色结节，组织学检查结果显示为伴有干酪样坏死的肉芽肿。8个月后的腹腔镜检查显示抗结核药物已使结节减少，明显可见有纤维蛋白网样外观的粘连。腹腔镜检查和活检有助于快速诊断结核性腹膜炎。