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- 野村 秀高
- Department of Gynecology, Cancer Institute Hospital
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- 阿部 彰子
- Department of Gynecology, Cancer Institute Hospital
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- 山本 阿紀子
- Department of Gynecology, Cancer Institute Hospital
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- 的田 眞紀
- Department of Gynecology, Cancer Institute Hospital
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- 尾松 公平
- Department of Gynecology, Cancer Institute Hospital
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- 加藤 一喜
- Department of Gynecology, Cancer Institute Hospital
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- 馬屋原 健司
- Department of Gynecology, Cancer Institute Hospital
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- 竹島 信宏
- Department of Gynecology, Cancer Institute Hospital
書誌事項
- タイトル別名
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- Successful laparoscopic diagnosis of tuberculous peritonitis that was mimicking peritoneal carcinomatosis: a case report
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Primary peritoneal tuberculosis is a rare disease that may mimic peritoneal carcinomatosis because of similar clinical pictures, including radiologic and laboratory test results. The differential diagnosis requires consideration of a wide range of benign and malignant gynecologic and gastrointestinal candidate conditions. A 74-year-old woman was referred to our hospital and presented with ascites and left ovarian cysts. The concentration of CA125 in the serum was 230.7 U/mL. Transvaginal paracentesis revealed that cytology of ascites was negative for cancer, but magnetic resonance imaging (MRI) and computed tomography (CT) suggested possible peritoneal dissemination. We performed bilateral salpingo-oophorectomy and peritoneal biopsy by laparoscopy and found multiple miliary deposits on the peritoneal surface, the Pouch of Douglas, most of the intestine, liver, and diaphragm. Upon histological examination, epithelioid granulomatous lesions with necrosis were apparent. No cancer cells were found in either the ovaries or fallopian tubes. Therefore, a diagnosis of peritonitis tuberculosis was established, and Mycobactrerium tuberculosis was later identified in cultures of the peritoneum. Herein, we have demonstrated an effective and minimally invasive procedure for diagnosing peritoneal tuberculosis via laparoscopy.
収録刊行物
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- 日本産科婦人科内視鏡学会雑誌
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日本産科婦人科内視鏡学会雑誌 28 (2), 547-551, 2012
日本産科婦人科内視鏡学会
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詳細情報 詳細情報について
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- CRID
- 1390001205346281088
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- NII論文ID
- 130003374520
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- ISSN
- 18845746
- 18849938
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- 本文言語コード
- en
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- データソース種別
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- JaLC
- Crossref
- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可