一名血清CA 125水平极高的结核性腹膜炎患者。
A patient with tuberculous peritonitis with very high serum CA 125.
作者信息
Seo Bong Soo, Hwang In Kyeom, Ra Ji Eun, Kim Yong Sung
机构信息
Department of Internal Medicine, Sanbon Hospital, Wonkwang University, Gunpo, Republic of Korea.
出版信息
BMJ Case Rep. 2012 Sep 21;2012:bcr2012006382. doi: 10.1136/bcr-2012-006382.
Abstract
An 88-year-old woman presented with abdominal pain and distension. Serum cancer antigen 125 (CA 125) level was very high; however, abdominal CT reveals ascites without definite mass. Ascites analysis revealed a lymphocytic exudate with high adenosine deaminase enzyme level, negative stains for bacteria and negative PCR for Mycobacterium tuberculosis. Presumptive diagnosis for tuberculous peritonitis was made and antituberculous therapy resulted in the resolution of ascites and normalisation of CA 125.
摘要
一名88岁女性因腹痛和腹胀就诊。血清癌抗原125（CA 125）水平非常高；然而，腹部CT显示有腹水但无明确肿块。腹水分析显示为淋巴细胞渗出液，腺苷脱氨酶水平高，细菌染色阴性，结核分枝杆菌聚合酶链反应阴性。作出结核性腹膜炎的推定诊断，抗结核治疗使腹水消退且CA 125恢复正常。
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