Korean Journal of Gastrointestinal Endoscopy 1991;11(2): 323-327.
복강경검사 및 간침생검으로 진단된 간결핵 1예 ( A Case of Hepatic Tuberculosis Diagnosed by Peritonescopy with Liver Biopsy )
김흥수, 전재윤, 배형미, 김영수, 양동규, 정준표, 홍천수, 강진경, 박인서, 최흥재, 박찬일 (Heung Soo Kim, Chae Yoon Chon, Hyung Mee Bae, Young Soo Kim, Dong Gyoo Yang, Joon Pyo Chung, Cheon Soo Hong, Jin Kyung Kang, In Suh Park, Heung Jai Choi and Chan Il Park)
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.
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