A Case of Peritoneal Tuberculosis Mimicking Ovarian Cancer in a Young Female.

IF 0.6 Q4 OBSTETRICS & GYNECOLOGY

Case Reports in Obstetrics and Gynecology Pub Date : 2022-09-28 eCollection Date: 2022-01-01 DOI:10.1155/2022/4687139

Oriel Nissim, F Richard Ervin, Susan E Dorman, Deeksha Jandhyala

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Abstract

Background: Tuberculosis causes significant morbidity and mortality globally. Peritoneal tuberculosis can have a similar presentation to ovarian cancer.

Case: We present a case of a 42-year-old female referred to gynecology oncology with imaging findings of enlarged right ovary, omental caking, and elevated CA-125 (1289 U/mL). A diagnostic laparoscopy revealed diffuse studding of intraperitoneal surfaces. Histopathological examination of omental and abdominal wall biopsies showed granulomas, but stains and cultures for mycobacteria were negative. Antimicrobial treatment for tuberculosis was initiated. Within eight weeks, there was clear clinical and radiographic improvement, consistent with a diagnosis of peritoneal tuberculosis.

Conclusion: This case highlights the importance of including peritoneal tuberculosis in the differential diagnosis when evaluating for ovarian cancer in women with epidemiologic risk factors for tuberculosis.

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一例年轻女性腹膜结核样卵巢癌。

背景:结核病在全球范围内引起显著的发病率和死亡率。腹膜结核的表现与卵巢癌相似。病例:我们报告一名42岁女性妇科肿瘤患者，影像学表现为右卵巢肿大，大网膜结块，CA-125升高(1289 U/mL)。诊断性腹腔镜检查显示腹膜内表面弥漫性钉钉。大网膜和腹壁活检的组织病理学检查显示肉芽肿，但分枝杆菌染色和培养阴性。开始对结核病进行抗菌治疗。在八周内，有明显的临床和影像学改善，符合腹膜结核的诊断。结论:本病例强调了在评估有结核病流行病学危险因素的女性卵巢癌时，将腹膜结核纳入鉴别诊断的重要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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