@article{oai:hama-med.repo.nii.ac.jp:00003373,
 author = {宇津, 桃子 and 宇津, 裕章 and 宇津, 正二},
 issue = {1},
 journal = {静岡産科婦人科学会雑誌},
 month = {Mar},
 note = {結核性腹膜炎は全結核のうち0.1～0.7％と稀な疾患である。今回、腹水貯留と腹膜播種様所見を認め、癌性腹膜炎疑いで診断的腹腔鏡手術を実施し、結核性腹膜炎と判明した症例を経験した。腹腔内は粟粒状の腫瘤を多数認め、術中迅速病理診断にて乾酪性肉芽腫を認めた。臨床的に結核性腹膜炎と診断し、術後3日に抗酸菌療法を実施し症状は徐々に改善した。そして術後4週後の喀痰培養検査陽性で確定診断となった。結核性腹膜炎に対する診断的腹腔鏡手術は、術後回復が早く、組織診断により早期に治療を開始することができるため有用である。, Tuberculous peritonitis (TBP) is rare, accounting for 0.1 to 0.7% of all cases of tuberculosis. We report a case with ascites and peritoneal studding, initially thought to be peritoneal carcinomatosis, and diagnosed TBP after exploratory laparoscopy. Multiple miliary masses were found in the peritoneal cavity and pathological diagnosis during surgery identified caseous granulomas. Clinically diagnosed with TBP, the patient was started on antituberculosis therapy 3 days after surgery and gradually recovered. At 4 weeks postoperatively, a definitive diagnosis of TBP was made based on a positive sputum culture test. Diagnostic laparoscopy for TBP enables early postoperative recovery, and treatment can be started early, based on histological diagnosis.},
 pages = {4--9},
 title = {診断的腹腔鏡にて結核性腹膜炎と早期に診断し治療し得た症例},
 volume = {8},
 year = {2019}
}