caa a22 4500 475753704 CHVBK 20180406123532.0 cr unu---uuuuu 170329e20000501xx s 000 0 eng 10.1007/s005950050625 doi (NATIONALLICENCE)springer-10.1007/s005950050625 Tuberculous peritonitis defying diagnosis: Report of a case [Elektronische Daten] [Makoto Hasegawa, Nobuaki Wada, Hiroshi Yasuhara, Syuji Naka, Toshitaka Nagao, Yasuo Ishida, Isamu Sugano, Koichi Nagao] A case of tuberculous peritonitis, which has beenscarcely encountered in clinical practice in recent years, is reported. A 32-year-old man was admitted to our hospital complaining of abdominal fullness, anorexia, and a 15kg weight loss. His abdomen was distended. There was neither any previous history nor recent contact with tuberculosis. The laboratory data indicated increased C-reactive protein and erythrocyte sedimentation rate, but the white blood cell count was normal. A chest X-ray examination revealed no abnormalities. abdominal X-ray showed scattered, small-intestinal gas shadows. Abdominal computed tomography scanning revealed a diffuse thickening of the dilated bowel wall, mainly adjacent to the mesentery. After a detailed examination a diagnosis of peritonitis carcinomatosa of unknown origin was suspected, and an exploratory laparotomy was done. Severe adhesions between the parietal peritoneum and the bowel were found. An excisional biopsy specimen was taken from the peritoneum, and a diagnosis of tuberculosis was thus made. Triple therapy with isoniazid, rifampicin, and kanamycin was started, and both the intestinal obstruction and anorexia were thus resolved. Springer-Verlag, 2000 tuberculous peritonitis nationallicence intestinal tuberculosis nationallicence exploratory laparotomy nationallicence Hasegawa Makoto Department of Surgery, Ichihara Hospital, Teikyo University School of Medicine, 3426-3 Anesaki, 299-0111, Ichihara-city, Chiba, Japan aut Wada Nobuaki Department of Surgery, Ichihara Hospital, Teikyo University School of Medicine, 3426-3 Anesaki, 299-0111, Ichihara-city, Chiba, Japan aut Yasuhara Hiroshi Department of Surgery, Ichihara Hospital, Teikyo University School of Medicine, 3426-3 Anesaki, 299-0111, Ichihara-city, Chiba, Japan aut Naka Syuji Department of Surgery, Ichihara Hospital, Teikyo University School of Medicine, 3426-3 Anesaki, 299-0111, Ichihara-city, Chiba, Japan aut Nagao Toshitaka Department of Pathology, Ichihara Hospital, Teikyo University School of Medicine, 3426-3 Anesaki, 299-0111, Ichihara-city, Chiba, Japan aut Ishida Yasuo Department of Pathology, Ichihara Hospital, Teikyo University School of Medicine, 3426-3 Anesaki, 299-0111, Ichihara-city, Chiba, Japan aut Sugano Isamu Department of Pathology, Ichihara Hospital, Teikyo University School of Medicine, 3426-3 Anesaki, 299-0111, Ichihara-city, Chiba, Japan aut Nagao Koichi Department of Pathology, Ichihara Hospital, Teikyo University School of Medicine, 3426-3 Anesaki, 299-0111, Ichihara-city, Chiba, Japan aut Surgery Today Springer-Verlag 30/5(2000-05-01), 458-461 0941-1291 30:5<458 2000 30 595 https://doi.org/10.1007/s005950050625 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s005950050625 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Hasegawa Makoto Department of Surgery, Ichihara Hospital, Teikyo University School of Medicine, 3426-3 Anesaki, 299-0111, Ichihara-city, Chiba, Japan aut NATIONALLICENCE 700 1- Wada Nobuaki Department of Surgery, Ichihara Hospital, Teikyo University School of Medicine, 3426-3 Anesaki, 299-0111, Ichihara-city, Chiba, Japan aut NATIONALLICENCE 700 1- Yasuhara Hiroshi Department of Surgery, Ichihara Hospital, Teikyo University School of Medicine, 3426-3 Anesaki, 299-0111, Ichihara-city, Chiba, Japan aut NATIONALLICENCE 700 1- Naka Syuji Department of Surgery, Ichihara Hospital, Teikyo University School of Medicine, 3426-3 Anesaki, 299-0111, Ichihara-city, Chiba, Japan aut NATIONALLICENCE 700 1- Nagao Toshitaka Department of Pathology, Ichihara Hospital, Teikyo University School of Medicine, 3426-3 Anesaki, 299-0111, Ichihara-city, Chiba, Japan aut NATIONALLICENCE 700 1- Ishida Yasuo Department of Pathology, Ichihara Hospital, Teikyo University School of Medicine, 3426-3 Anesaki, 299-0111, Ichihara-city, Chiba, Japan aut NATIONALLICENCE 700 1- Sugano Isamu Department of Pathology, Ichihara Hospital, Teikyo University School of Medicine, 3426-3 Anesaki, 299-0111, Ichihara-city, Chiba, Japan aut NATIONALLICENCE 700 1- Nagao Koichi Department of Pathology, Ichihara Hospital, Teikyo University School of Medicine, 3426-3 Anesaki, 299-0111, Ichihara-city, Chiba, Japan aut NATIONALLICENCE 773 0- Surgery Today Springer-Verlag 30/5(2000-05-01), 458-461 0941-1291 30:5<458 2000 30 595 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer