Peritoneal Tuberculosis: A Forsaken Yet Misleading Diagnosis

In women presenting with an abdominal mass and ascites, the first diagnosis to consider is ovarian cancer. However, clinicians should always consider alternative differentials, namely, peritoneal tuberculosis, especially in the presence of respiratory symptoms and with the increasing prevalence of e...

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Published inCase reports in oncological medicine Vol. 2019; no. 2019; pp. 1 - 4
Main Authors Atallah, David, Daccache, Stephanie, Kesrouani, Carole, Menassa-Moussa, Lina, Haddad, Fady Gh, Kattan, Joseph, Haddad, Fady G.
Format Journal Article
LanguageEnglish
Published Cairo, Egypt Hindawi Publishing Corporation 04.11.2019
Hindawi
Hindawi Limited
Wiley
Subjects
Abdomen
Case Report
Case reports
CAT scans
Cellular biology
Developing countries
Diagnosis
Family medical history
Gastric cancer
Gastroenterology
Infections
LDCs
Medical imaging
Mesentery
Ovarian cancer
Patients
Positron emission tomography
Tuberculosis
Ultrasonic imaging
Womens health
Lebanon
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Summary:In women presenting with an abdominal mass and ascites, the first diagnosis to consider is ovarian cancer. However, clinicians should always consider alternative differentials, namely, peritoneal tuberculosis, especially in the presence of respiratory symptoms and with the increasing prevalence of extrapulmonary tuberculosis. Peritoneal tuberculosis can mimic the clinical presentation of ovarian cancer, and on imaging, it can show similar features of peritoneal carcinomatosis and nodules. Tumor markers can also be elevated in the absence of malignancy. We present the case of a 44-year-old woman with abdominal distension and ascites. Imaging with CT scan, MRI, and PET scan were inconclusive, showing peritoneal nodules. Cytology of ascites was negative. Laparoscopy was done showing Koch bacilli followed by pulmonary sampling showing Mycobacterium tuberculosis. The patient was treated with quadritherapy with resolution of symptoms.
Bibliography:Academic Editor: Ossama W. Tawfik
ISSN:2090-6706
2090-6714
DOI:10.1155/2019/5357049