ABSTRACT
Tuberculosis, and specially its extrapulmonary location still causes diagnostic difficulties. In 2007, in Poland 7.3% of newly registered cases of tuberculosis in Poland were located extrapulmonary. Peritoneal tuberculosis is often wrongly diagnosed as an ovarian cancer, it is due to similar symptoms like abdominal pain, abdominopelvic masses, ascites and elevated serum CA-125. Two patients who were admitted to our department with suspicion of ovarian cancer are presented. Subjective symptoms suggested the ovarian cancer, elevated levels of CA-125, chest x-rays without abnormal findings or with minimal fibrotic changes and uncharacteristic results of additional investigations were disclosed. A diagnostic laparoscopy was made to establish the diagnosis. Because of clinical and operative picture suggesting ovarian cancer in both cases resections were performed. The procedure consisted of total abdominal hysterectomy and bilateral salpingo-oophorectomy. Biopsy specimens were taken up and verified histopathologically. The peritoneal tuberculosis was recognized in both cases.
Subject(s)
Peritonitis, Tuberculous/diagnosis , Peritonitis, Tuberculous/surgery , Women's Health , Abdominal Pain/etiology , Adult , Ascites/etiology , CA-125 Antigen/blood , Diagnosis, Differential , Female , Fever/etiology , Humans , Hysterectomy , Ovarian Neoplasms/diagnosis , Ovarian Neoplasms/surgery , Ovariectomy , Peritonitis, Tuberculous/complicationsABSTRACT
The paper presents a rare case of jejunum adenocarcinoma at a 66-year old female. The patient was admitted to the hospital due to not characteristic abdominal pain and periodical nausea and vomitting lasting few months. After realized laboratory investigation, especially on the basis of contrast, radiological procedure of the gastrointestinal tract, the high obstruction was detected. Then the patient has been operated on. Postoperative period proceeded without complications. Eleven monthly observation after the operation showed no recurrence of cancer. The presented case confirms vole of contrast radiological procedure of the gastrointestinal tract, which is simple and generaly available examination, in the diagnosis of bowel obstruction. The correct interpretation of the result was an indication of surgical intervention. However the final diagnose is established on the base of postoperative histopatological examination.
