Abstract

INSUASTY ENRIQUEZ, Jesús Solier; BOLIVAR, Adrián; CALVO, Lauren Sofía  and  ROBERTO, Sandra Liliana. Peritoneal tuberculosis simulating ovarian cancer. Acta Med Colomb [online]. 2014, vol.39, n.4, pp.383-387. ISSN 0120-2448.

Peritoneal tuberculosis (TB) is a form of peritoneal and / or pelvic TB. This entity can sometimes clinically simulate an ovarian carcinoma, which added to an incresed serum CA 125 can make the differential diagnosis between these two diseases, a difficult challenge for the clinician. The case of a 49 years old woman with symptoms, signs, and imaging and laboratory findings suggestive of ovarian carcinoma in whom also risk factors for the development of TB are documented, is presented. Finally, thanks to the complementary studies and adequate analysis of the data, the diagnosis of peritoneal TB is made. This case aims to raise awareness of the medical community about the importance of considering the peritoneal TB as a differential diagnosis in patients with suspected ovarian carcinoma, allowing to perform an accurate and timely diagnosis avoiding exposure to risky and unnecessary surgical procedures.

Keywords : rheumatoid arthritis; ovarian neoplasms; tuberculosis; risk factors; tuberculous peritonitis; CA125 antigen.

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