USEFULNESS OF THE LAPAROSCOP FOR THE INTRACTABLE AND CRYPTOGENIC ASCITES

  • KAWASAKI Kentaro
    Department of Gastroenterological Surgery , Kobe University Graduate School of Medicine
  • ICHIHARA Takao
    Department of Gastroenterological Surgery , Kobe University Graduate School of Medicine
  • GOTO Naohiro
    Department of Gastroenterological Surgery , Kobe University Graduate School of Medicine
  • TUCHIDA Shinobu
    Department of Gastroenterological Surgery , Kobe University Graduate School of Medicine
  • AJIKI Tetsuo
    Department of Gastroenterological Surgery , Kobe University Graduate School of Medicine
  • MATUMOTO Ippei
    Department of Gastroenterological Surgery , Kobe University Graduate School of Medicine
  • FUJINO Yasuhiro
    Department of Gastroenterological Surgery , Kobe University Graduate School of Medicine
  • KANOMATA Naoki
    Department of Pathological Division,Kobe Universal Hospital
  • MIYAZAKI Hironori
    Department of Internal Medicine , Kobe Medical Center
  • IKUTA Hajime
    Department of Gastroenterological Surgery , Kobe University Graduate School of Medicine
  • KURODA Yoshikazu
    Department of Gastroenterological Surgery , Kobe University Graduate School of Medicine

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Other Title
  • 原因不明の難治性腹水に対し腹腔鏡が有用であった2例

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Description

A Case 1 was 62-year-old man with intractable and cryptogenic ascites. Laparoscope was revealed several white nodules at peritoneum. The result of the biopsy was the malignant mesoepithelioma of the peritoneum. A case 2 was 64-year-old man with intractable and cryptogenic ascites. Laparoscop showed the intra-abdominal organs were coated with white thick membrane. The result of the biopsy was the non-specific chronic inflammation. So we diagnosed encapsulating peritoneal sclerosis. We dispensed antibiotics according to the culture and sensitivity. Antibiotics was effective and accites was decreased. Laparoscopic examination for the patient with intractable and cryptogenic ascites was useful.

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