Pelvic-peritoneal tuberculosis with elevated serum and peritoneal fluid Ca-125 levels. A report of two cases.
We report 2 patients with pelvic-peritoneal tuberculosis and elevated serum and peritoneal fluid levels of Ca-125. The first was a young and infertile women who had cul-de-sac nodularity and dysmenorrhea. The other was postmenopausal and presented with weight loss and ascites. While a preoperative diagnosis of endometriosis was made in the former, intraperitoneal malignancy was considered in the latter. The diagnosis of pelvic-peritoneal tuberculosis was reached by laparoscopic-directed biopsy in both patients. Serum levels of Ca-125 returned to normal limits following antituberculous drug treatment.
Gürgan
T
T
Hacettepe University, Faculty of Medicine, Department of Obstetrics and Gynecology, Ankara, Turkey.
Zeyneloğlu
H
H
Urman
B
B
Develioğlu
O
O
Yarali
H
H
D000291:Adnexal Diseases / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D000328:Adult; D015295:Antigens, Tumor-Associated, Carbohydrate / Q000097:blood*; D001202:Ascitic Fluid / Q000737:chemistry; D003937:Diagnosis, Differential; D004977:Ethambutol / Q000627:therapeutic use; D005260:Female; D006801:Humans; D007247:Infertility, Female / Q000209:etiology; D007538:Isoniazid / Q000627:therapeutic use; D008593:Menopause; D008875:Middle Aged; D014395:Peritonitis, Tuberculous / Q000175:diagnosis* / Q000188:drug therapy / Q000276:immunology; D011718:Pyrazinamide / Q000627:therapeutic use; D012293:Rifampin / Q000627:therapeutic use; D014384:Tuberculosis, Female Genital / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy / Q000276:immunology; D014591:Uterine Diseases / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy
D015295:Antigens, Tumor-Associated, Carbohydrate; D011718:Pyrazinamide; D004977:Ethambutol; D007538:Isoniazid; D012293:Rifampin