TB Peritonitis Mistaken for Ovarian Carcinomatosis Based on an Elevated CA-125
Joint Authors
Oluwole, Oladoyin
Shah, Christopher T.
Sheagren, John N.
Boss, Joseph D.
Source
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-02-20
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
Background.
In the United States, tuberculosis (TB) is of relatively low prevalence and most newly diagnosed patients are born outside of the United States.
In addition, a large percentage (20.6%) of TB cases initially present with extrapulmonary manifestations (CDC, 2010).
Cases of TB peritonitis are a diagnostic challenge in women due to the nonspecific clinical features overlapping with signs of ovarian cancer.
(Kosseifi et al., 2009; Rashed et al., 2007; and Xi et al., 2010).
We present a 27 year-old woman thought to have ovarian carcinomatosis based on elevated levels of CA-125 who was ultimately diagnosed with TB salpingitis, endometritis, and peritonitis.
Methods.
This brief report is a retrospective case report.
Results.
This case outlines the unfortunate consequences of the misdiagnosis of what probably was an antibiotic responsive illness, resulting in an unnecessarily aggressive surgical procedure.
The delay in the diagnosis of tuberculous pertitonitis resulted in an unnecessary radical resection of the patient’s reproductive organs.
Conclusions.
Patients with TB peritonitis present with non-specific signs that may be misdiagnoses as ovarian cancer.
In differentiating between ovarian carcinomatosis and peritoneal TB, it is vital to consider country of origin, age, CA-125, ascitic fluid analysis, and the use of intra-operative frozen sections.
American Psychological Association (APA)
Boss, Joseph D.& Shah, Christopher T.& Oluwole, Oladoyin& Sheagren, John N.. 2012. TB Peritonitis Mistaken for Ovarian Carcinomatosis Based on an Elevated CA-125. Case Reports in Medicine،Vol. 2012, no. 2012, pp.1-3.
https://search.emarefa.net/detail/BIM-455200
Modern Language Association (MLA)
Boss, Joseph D.…[et al.]. TB Peritonitis Mistaken for Ovarian Carcinomatosis Based on an Elevated CA-125. Case Reports in Medicine No. 2012 (2012), pp.1-3.
https://search.emarefa.net/detail/BIM-455200
American Medical Association (AMA)
Boss, Joseph D.& Shah, Christopher T.& Oluwole, Oladoyin& Sheagren, John N.. TB Peritonitis Mistaken for Ovarian Carcinomatosis Based on an Elevated CA-125. Case Reports in Medicine. 2012. Vol. 2012, no. 2012, pp.1-3.
https://search.emarefa.net/detail/BIM-455200
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-455200