[18F-fluorodeoxyglucose-positron emission tomography (FDG-PET) was useful tool for detecting tuberculous peritonitis: report of a case].
A 40's-year-old woman who had abdominal pain with fever was referred to our hospital for further examinations. Abdominal computed tomography showed no focal lesion, and no causative lesion was found after a gynecological examination, upper gastrointestinal endoscopy and colonoscopy. Tuberculin test and QuantiFERON-TB were positive, and thus tuberculous peritonitis was suspected. The level of adenosine deaminase (ADA) in ascites was high, and (18)F-fluorodeoxyglucose-positron emission tomography (FDG-PET) showed that FDG accumulated diffusely along the peritoneum. These findings supported the findings of tuberculous peritonitis. Final diagnosis of tuberculous peritonitis was done from laparoscopic biopsy. Combination of QuantiFERON-TB, ADA and FDG-PET was useful in diagnosing tuberculous peritonitis.
Department of Gastroenterology, Osaka University.
Shunsuke
S
Yamamoto
Tsutomu
T
Nishida
Shusaku
S
Tsutsui
Katsumi
K
Yamamoto
Takayuki
T
Yakushijin
Takumi
T
Igura
Yoshihiro
Y
Kamada
Akira
A
Wada
Kenji
K
Watabe
Norio
N
Hayashi
D000328:Adult; D005260:Female; D019788:Fluorodeoxyglucose F18; D006801:Humans; D014395:Peritonitis, Tuberculous / Q000000981:diagnostic imaging*; D049268:Positron-Emission Tomography
D019788:Fluorodeoxyglucose F18