Pelvic-peritoneal tuberculosis mimicking ovarian cancer
JCPSP-Journal of the College of Physicians and Surgeons Pakistan. 2012; 22 (2): 113-115
Dans Anglais
| IMEMR
| ID: emr-162688
ABSTRACT
Pelvic-peritoneal tuberculosis is a common extrapulmonary site in young females mimicking an advanced ovarian malignancy. We present 2 cases with the classical triad of advanced-stage ovarian carcinoma-ascites, abdominopelvic masses and elevated serum CA-125 levels. Laparoscopic examination revealed peritoneal nodules which on biopsy showed granulomatous inflammation and no malignant cells. Patients were started on anti-tuberculous therapy and on follow-up their symptoms as well as CA-125 levels normalized. Medical awareness of peritoneal tuberculosis is lacking and many young women with this disease undergo unnecessary extended surgery. Diagnostic laparoscopy combined with peritoneal biopsy seems to be a sufficient and safe method to provide a definitive diagnosis for this curable infection. If left untreated, the disease may disseminate and result in significant organ dysfunctions particularly infertility
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Indice:
Méditerranée orientale
langue:
Anglais
Texte intégral:
J. Coll. Physicians Surg. Pak.
Année:
2012
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