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

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...

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Main Authors: Oriel Nissim, F. Richard Ervin, Susan E. Dorman, Deeksha Jandhyala
Format: Article
Language:English
Published: Hindawi Limited 2022-01-01
Series:Case Reports in Obstetrics and Gynecology
Online Access:http://dx.doi.org/10.1155/2022/4687139
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author Oriel Nissim
F. Richard Ervin
Susan E. Dorman
Deeksha Jandhyala
author_facet Oriel Nissim
F. Richard Ervin
Susan E. Dorman
Deeksha Jandhyala
author_sort Oriel Nissim
collection DOAJ
description 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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spelling doaj.art-7e6681594c34416d86cd51622c294cc82022-12-22T04:29:43ZengHindawi LimitedCase Reports in Obstetrics and Gynecology2090-66922022-01-01202210.1155/2022/4687139A Case of Peritoneal Tuberculosis Mimicking Ovarian Cancer in a Young FemaleOriel Nissim0F. Richard Ervin1Susan E. Dorman2Deeksha Jandhyala3Medical University of South CarolinaSouth Carolina Department of Health and Environmental ControlMedical University of South CarolinaMedical University of South CarolinaBackground. 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.http://dx.doi.org/10.1155/2022/4687139
spellingShingle Oriel Nissim
F. Richard Ervin
Susan E. Dorman
Deeksha Jandhyala
A Case of Peritoneal Tuberculosis Mimicking Ovarian Cancer in a Young Female
Case Reports in Obstetrics and Gynecology
title A Case of Peritoneal Tuberculosis Mimicking Ovarian Cancer in a Young Female
title_full A Case of Peritoneal Tuberculosis Mimicking Ovarian Cancer in a Young Female
title_fullStr A Case of Peritoneal Tuberculosis Mimicking Ovarian Cancer in a Young Female
title_full_unstemmed A Case of Peritoneal Tuberculosis Mimicking Ovarian Cancer in a Young Female
title_short A Case of Peritoneal Tuberculosis Mimicking Ovarian Cancer in a Young Female
title_sort case of peritoneal tuberculosis mimicking ovarian cancer in a young female
url http://dx.doi.org/10.1155/2022/4687139
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