[Peritoneal tuberculosis simulating advanced ovarian carcinoma: a case report].
Disseminated peritoneal tuberculosis accounts for 1-3% of tuberculosis disease, represented by high frequency of lung defects in endemic countries. The authors report one case in a 43-year-old woman, the initial interpretation of which, based on pleural and peritoneal exudate, showed suspected latero-uterine mass and significant elevated serum CA 125 level, mimicking disseminated ovarian carcinoma. Only after exploring laparotomy with biopsy was disseminated peritoneal tuberculosis identified, thus correcting the diagnosis. Symptomatology, X-ray defect, and cynetic of serum CA 125 level were left in totality after 3 months of antituberculosis multidrugs. This is a diagnostic trap, which presents a new interest for such pathology as tuberculosis, which is on the increase again in the West.
Lantheaume
S
S
Service de gynécologie-obstétrique, CHT Magenta, 7, avenue Paul-Doumer, BP J5, 98800 Nouméa, Nouvelle-Calédonie. steph.lanth@wanadoo.fr
Soler
S
S
Issartel
B
B
Isch
J-F
JF
Lacassin
F
F
Rougier
Y
Y
Tabaste
J L
JL
D000328:Adult; D000995:Antitubercular Agents / Q000627:therapeutic use; D001706:Biopsy; D018394:CA-125 Antigen / Q000097:blood; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007813:Laparotomy; D010051:Ovarian Neoplasms; D014395:Peritonitis, Tuberculous / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology; D014057:Tomography, X-Ray Computed
D000995:Antitubercular Agents; D018394:CA-125 Antigen