Abstract
Tüberküloz peritoniti nadiren akut batın tablosunu taklit edebilir. Karın ağrısı ve CA 125 yüksekliği; abdominal malignensiler ve obstrüksiyonlarda anlamlı olmakla birlikte bening durumlarda da olabilmektedir.Burada asid ve yükselmiş CA 125 düzeyi olan akut batın tablosunda gelip laparatomi yapılan ve patolojisi tüberküloz peritoniti ile uyumlu bulunan bir olgu sunuldu. Cerrahi materyalden PCR yöntemi ile aside direçli basil varlığı doğrulandı.Bu olguda biz anti-tüberküloz tedaviye yanıtın takibinde CA 125'in faydalı olabileceğini vurgulamak istedik.
Keywords
References
- Çakır M, Dilber E, Yariş N, Mungan İ, Ökten A. A case of tuber- culous peritonitis with elevated CA 125. Turk J Pediatr 2005; 47: 100
- Jeffrey R, Starke and Floor MM. Tuberculosis. In: Kliegman RM, Jen- son HB, Behrman RE, Stanton BF (eds). Nelson Texbook of Pedi- atrics. 18th ed. Philedelphia: WB Saunders, 2007: 1240-1254.
- Şimsek H, Savaş MC, Kadayıfçı A, Tatar G. Elevated serum CA 125 Joseph SS. Neoplasms and abnormal pap smear management. İn: Kliegman RM, Jenson HB, Behrman RE, Stanton BF (eds). Nelson Aisenberg GM, Jacobson K, Chemaly RF, Rolston KV, Raad H, Saf- dar A. Extrapulmonary tuberculosis active infection misdiagnosed as Uzunköy A, Nazlıgül Y. Peritoneal tuberculosis: Review. Türkiye Kli- nikleri J Med Sci 2006; 26:404-408.
Abstract
Tuberculous peritonitis is a rare event which can mimic advanced stage of acute abdomen. Abdominal
pain and an elevated CA 125 is suggestive of an abdominal malignancy and obstruction;
however, benign conditions may be discovered.
A patient with an acute abdomene, ascites, and an elevated CA 125 underwent an exploratory
laparotomy Final pathology revealed peritoneal tuberculosis without any pulmonary involvement.
Acid-fast bacilli were confirmed with polymerase chain reaction in the surgical specimen.
We also used CA 125 for monitoring the response to the anti-tuberculous treatment.
Keywords
References
- Çakır M, Dilber E, Yariş N, Mungan İ, Ökten A. A case of tuber- culous peritonitis with elevated CA 125. Turk J Pediatr 2005; 47: 100
- Jeffrey R, Starke and Floor MM. Tuberculosis. In: Kliegman RM, Jen- son HB, Behrman RE, Stanton BF (eds). Nelson Texbook of Pedi- atrics. 18th ed. Philedelphia: WB Saunders, 2007: 1240-1254.
- Şimsek H, Savaş MC, Kadayıfçı A, Tatar G. Elevated serum CA 125 Joseph SS. Neoplasms and abnormal pap smear management. İn: Kliegman RM, Jenson HB, Behrman RE, Stanton BF (eds). Nelson Aisenberg GM, Jacobson K, Chemaly RF, Rolston KV, Raad H, Saf- dar A. Extrapulmonary tuberculosis active infection misdiagnosed as Uzunköy A, Nazlıgül Y. Peritoneal tuberculosis: Review. Türkiye Kli- nikleri J Med Sci 2006; 26:404-408.
Details
| Other ID | JA69VG96CG |
|---|---|
| Journal Section | Research Article |
| Authors | |
| Publication Date | June 1, 2008 |
| Submission Date | June 1, 2008 |
| Published in Issue | Year 2008 Volume: 2 Issue: 2 |
The publication language of Turkish Journal of Pediatric Disease is English.
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