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

Autor: Bright Oppong, Solomon Gyabaah, Gorden Manu Amponsah, Ato Quansah, Eric Amoako Darkwa
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Clinical Case Reports, Vol 12, Iss 3, Pp n/a-n/a (2024)
Druh dokumentu: article
ISSN: 2050-0904
DOI: 10.1002/ccr3.8617
Popis: 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.
Databáze: Directory of Open Access Journals
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