https://scholars.lib.ntu.edu.tw/handle/123456789/539625
標題: | Tuberculous peritonitis mimicking peritonitis carcinomatosis: A case report | 作者: | JIA-FENG WU Li H.-J. PING-ING LEE YEN-HSUAN NI Yu S.-C. MEI-HWEI CHANG |
公開日期: | 2003 | 卷: | 162 | 期: | 12 | 起(迄)頁: | 853-855 | 來源出版物: | European Journal of Pediatrics | 摘要: | A 13-year-old girl presented with non-specific symptoms of peritonitis, low grade fever and missed her normal menses. Computed tomography of her abdomen and pelvic cavity showed omental cake and a generalised thickened peritoneum. An elevated serum cancer antigen-125 (CA-125) level of 1248.5 U/ml was also noted and a diagnosis of peritonitis carcinomatosis was first suspected. Diagnostic laparoscopy revealed multiple tubercles over the whole peritoneum and the pathology report described granulomatous nodules with giant cells and epithelioid cells. Culture of the ascitic fluid revealed Mycobacterium tuberculosis which resulted in a final diagnosis of tuberculous peritonitis. The patient's fever and abdominal distension gradually subsided after antituberculosis treatment. The serum CA-125 level also decreased significantly to 10.2 U/ml after treatment. Conclusion: Cancer antigen-125 levels may serve as a potential follow-up marker of disease activity and treatment response in tuberculous peritonitis. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-0347589342&doi=10.1007%2fs00431-003-1319-3&partnerID=40&md5=463a51f54660848dfc1c8d26c77a4f27 https://scholars.lib.ntu.edu.tw/handle/123456789/539625 |
ISSN: | 0340-6199 | DOI: | 10.1007/s00431-003-1319-3 | SDG/關鍵字: | CA 125 antigen; isoniazid; pyrazinamide; rifampicin; tuberculostatic agent; abdominal distension; adolescent; article; ascites fluid; bacterium culture; carcinomatous peritonitis; case report; computer assisted tomography; differential diagnosis; disease activity; disease marker; epithelioid cell; female; fever; giant cell; granulomatosis; human; laparoscopy; Mycobacterium tuberculosis; omentum; priority journal; symptomatology; treatment outcome; tuberculous peritonitis; Adolescent; CA-125 Antigen; Diagnosis, Differential; Female; Humans; Peritoneal Neoplasms; Peritonitis, Tuberculous |
顯示於: | 醫學系 |
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