Clinical course of tuberculous peritonitis determined by laparoscopy.
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.
Internal Medicine, Saiseikai Matsuyama Hospital, Matsuyama.
Hiroaki
H
Miyaoka
Kazuhiro
K
Uesugi
Shuichiro
S
Shigematsu
Teruki
T
Miyake
Eri
E
Furukawa
Shunji
S
Okita
Takeshi
T
Okada
Masanori
M
Abe
Hidehiro
H
Murakami
Bunzo
B
Matsuura
Yoichi
Y
Hiasa
Morikazu
M
Onji
D000368:Aged; D000995:Antitubercular Agents / Q000627:therapeutic use; D006099:Granuloma / Q000473:pathology; D006801:Humans; D010535:Laparoscopy; D008107:Liver Diseases / Q000473:pathology; D008297:Male; D014395:Peritonitis, Tuberculous / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000473:pathology; D013997:Time Factors; D000267:Tissue Adhesions / Q000473:pathology; D014057:Tomography, X-Ray Computed
D000995:Antitubercular Agents