Peritoneal tuberculosis masquerading as an ovarian malignancy in a young female: A case report

Abstract The clinical manifestations of peritoneal tuberculosis are quite variable, nonspecific and mimic many diseases and pathological conditions such as lymphoma, and ovarian malignancy. Due to this clinical overlap and limited accuracy of diagnostic tests, more awareness of this disease is requi...

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Main Authors: Bright Oppong, Solomon Gyabaah, Gorden Manu Amponsah, Ato Quansah, Eric Amoako Darkwa
Format: Article
Language:English
Published: Wiley 2024-03-01
Series:Clinical Case Reports
Subjects:
Online Access:https://doi.org/10.1002/ccr3.8617
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author Bright Oppong
Solomon Gyabaah
Gorden Manu Amponsah
Ato Quansah
Eric Amoako Darkwa
author_facet Bright Oppong
Solomon Gyabaah
Gorden Manu Amponsah
Ato Quansah
Eric Amoako Darkwa
author_sort Bright Oppong
collection DOAJ
description Abstract The clinical manifestations of peritoneal tuberculosis are quite variable, nonspecific and mimic many diseases and pathological conditions such as lymphoma, and ovarian malignancy. Due to this clinical overlap and limited accuracy of diagnostic tests, more awareness of this disease is required to enable early diagnosis and prompt treatment. This is a case of a 25‐year‐old female with no known chronic illness who presented with worsening generalized abdominal pains and distension of 2 months duration. There was an associated significant weight loss of 17 kg. She was initially diagnosed with ovarian malignancy based of ultrasound findings and elevated CA‐125 levels. However, further evaluation later was consistent with peritoneal tuberculosis for which she was treated. Her symptoms resolved completely after 6 months of anti‐tuberculosis treatment. Diagnosis of abdominal TB remains challenging as it is non‐specific. Its features and clinical manifestation overlap with other conditions such as ovarian malignancy. A high index of suspicions and judicious application of the available diagnostic test is need for prompt diagnosis. No single test can effectively diagnose peritoneal TB, but a combination of history, and radiological, immunologic, molecular, and cytologic tests are important.
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spelling doaj.art-3615dc17eb4a4165879f67910e66ab342024-03-26T12:36:43ZengWileyClinical Case Reports2050-09042024-03-01123n/an/a10.1002/ccr3.8617Peritoneal tuberculosis masquerading as an ovarian malignancy in a young female: A case reportBright Oppong0Solomon Gyabaah1Gorden Manu Amponsah2Ato Quansah3Eric Amoako Darkwa4Komfo Anokye Teaching Hospital Kumasi GhanaKomfo Anokye Teaching Hospital Kumasi GhanaKomfo Anokye Teaching Hospital Kumasi GhanaKomfo Anokye Teaching Hospital Kumasi GhanaKomfo Anokye Teaching Hospital Kumasi GhanaAbstract The clinical manifestations of peritoneal tuberculosis are quite variable, nonspecific and mimic many diseases and pathological conditions such as lymphoma, and ovarian malignancy. Due to this clinical overlap and limited accuracy of diagnostic tests, more awareness of this disease is required to enable early diagnosis and prompt treatment. This is a case of a 25‐year‐old female with no known chronic illness who presented with worsening generalized abdominal pains and distension of 2 months duration. There was an associated significant weight loss of 17 kg. She was initially diagnosed with ovarian malignancy based of ultrasound findings and elevated CA‐125 levels. However, further evaluation later was consistent with peritoneal tuberculosis for which she was treated. Her symptoms resolved completely after 6 months of anti‐tuberculosis treatment. Diagnosis of abdominal TB remains challenging as it is non‐specific. Its features and clinical manifestation overlap with other conditions such as ovarian malignancy. A high index of suspicions and judicious application of the available diagnostic test is need for prompt diagnosis. No single test can effectively diagnose peritoneal TB, but a combination of history, and radiological, immunologic, molecular, and cytologic tests are important.https://doi.org/10.1002/ccr3.8617malignancymasquaradingovarianperitonealtuberculosis
spellingShingle Bright Oppong
Solomon Gyabaah
Gorden Manu Amponsah
Ato Quansah
Eric Amoako Darkwa
Peritoneal tuberculosis masquerading as an ovarian malignancy in a young female: A case report
Clinical Case Reports
malignancy
masquarading
ovarian
peritoneal
tuberculosis
title Peritoneal tuberculosis masquerading as an ovarian malignancy in a young female: A case report
title_full Peritoneal tuberculosis masquerading as an ovarian malignancy in a young female: A case report
title_fullStr Peritoneal tuberculosis masquerading as an ovarian malignancy in a young female: A case report
title_full_unstemmed Peritoneal tuberculosis masquerading as an ovarian malignancy in a young female: A case report
title_short Peritoneal tuberculosis masquerading as an ovarian malignancy in a young female: A case report
title_sort peritoneal tuberculosis masquerading as an ovarian malignancy in a young female a case report
topic malignancy
masquarading
ovarian
peritoneal
tuberculosis
url https://doi.org/10.1002/ccr3.8617
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AT solomongyabaah peritonealtuberculosismasqueradingasanovarianmalignancyinayoungfemaleacasereport
AT gordenmanuamponsah peritonealtuberculosismasqueradingasanovarianmalignancyinayoungfemaleacasereport
AT atoquansah peritonealtuberculosismasqueradingasanovarianmalignancyinayoungfemaleacasereport
AT ericamoakodarkwa peritonealtuberculosismasqueradingasanovarianmalignancyinayoungfemaleacasereport