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Caspian J Intern Med 2016, 7(1): 61-63 Back to browse issues page
A case report of peritoneal tuberculosis with multiple miliary peritoneal deposits mimicking advanced ovarian carcinoma
Shahla Yazdani, Mahmod Sadeghi, Abolhasan Alijanpour, Mojgan Naeimi rad *
Clinical Research Development unit of Ayatollah Rouhani Hospital, Babol University of Medical Sciences, Babol, Iran , mojy_rad@yahoo.com
Abstract:   (7312 Views)

Background: Peritoneal tuberculosis accounts 1-2% of all forms of tuberculosis. Peritoneal tuberculosis is an important differential diagnosis for ovarian cancer in women with ascites, adnexal mass and elevated cancer antigen 125 (CA125) levels. We report a case of a 32- year -old woman with multiple miliary peritoneal deposits mimicking advanced ovarian carcinoma.

Case Presentation: A 32-year-old drug addicted woman presented with menometrorrhagia, fever and shivering, ascites and pelvis mass. Ultrasonography revealed a 53×65 mm cyst in left ovary and ascites. Multiple miliary peritoneal deposits were observed during laparatomy without any mass, histologic examination confirmed tuberculosis of uterus, tubes, omentum, liver and external surfaces of small intestine. Finally, the patient recovered with anti-tuberculosis treatment.

Conclusion: These findings highlight considering tuberculosis in the differential diagnosis of any patients with adnexal mass, ascitis and elevated serum CA125 even with negative cytology and bacteriology test results.

Keywords: Tuberculosis, Ovary, CA125, Peritoneal, Carcinoma
Full-Text [PDF 270 kb]   (1680 Downloads)    
Type of Study: case report | Subject: Obstetrics & Gynicology
Received: 2014/10/26 | Accepted: 2015/06/28 | Published: 2015/12/13
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Yazdani S, Sadeghi M, Alijanpour A, Naeimi rad M. A case report of peritoneal tuberculosis with multiple miliary peritoneal deposits mimicking advanced ovarian carcinoma. Caspian J Intern Med. 2016; 7 (1) :61-63
URL: http://caspjim.com/article-1-424-en.html


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Volume 7, Issue 1 (1-2016) Back to browse issues page
Caspian Journal of Internal Medicine
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