A Case of Hepatic Tuberculosis Diagnosed by Peritonescopy with Liver Biopsy / 대한소화기내시경학회지
Korean Journal of Gastrointestinal Endoscopy
; : 323-327, 1991.
Article
en Ko
| WPRIM
| ID: wpr-168617
Biblioteca responsable:
WPRO
ABSTRACT
Studies on hepatic tuberculosis are rare in Korea except several case repots. This is the first report on hepatic tuberculosis confirmed by the peritoneoscopic liver biopsy in Korea. A 43-year-old man was admitted due to high fever and cough for l0 days. On physical examination moist rale was audible on the both lower lung fields and hepatomegaly was noted. Chest X-ray revealed multiple fine granularity scattered uniformly throughout the both lung fields compatible with miliary pulmonary tuberculosis. On blood chemistry, SGOT, SGPT and alkaline phosphatase were elevated. Peritoneascopy revealed multiple yellowish-white small nodules evenly acattered on the entire surface of the both lobes of the liver and the needle biopsy of the liver showed chronic granulomatous inflammation with multinucleated giant cells and caseous necrosis consistent with hepatic tuberculosis. The patient was treated with antituberculous medications. Chest X-ray 6 months after treatment revealed completely healed miliary pulmonary tuberculosis and on blood chemistry 200 days after therapy SGOT, SGPT and alkaline phosphatase were within normal limits.
Palabras clave
Texto completo:
1
Base de datos:
WPRIM
Asunto principal:
Examen Físico
/
Aspartato Aminotransferasas
/
Tórax
/
Tuberculosis Hepática
/
Tuberculosis Pulmonar
/
Biopsia
/
Biopsia con Aguja
/
Células Gigantes
/
Química
/
Ruidos Respiratorios
Tipo de estudio:
Diagnostic_studies
Límite:
Adult
/
Humans
País/Región como asunto:
Asia
Idioma:
Ko
Revista:
Korean Journal of Gastrointestinal Endoscopy
Año:
1991
Tipo del documento:
Article