title: [Peritoneal tuberculosis simulating advanced ovarian carcinoma: a case report].
abstract: 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.
authors.affiliation: Service de gynécologie-obstétrique, CHT Magenta, 7, avenue Paul-Doumer, BP J5, 98800 Nouméa, Nouvelle-Calédonie. steph.lanth@wanadoo.fr
authors.forename: S
authors.initials: S
authors.lastname: Lantheaume
authors.forename: S
authors.initials: S
authors.lastname: Soler
authors.forename: B
authors.initials: B
authors.lastname: Issartel
authors.forename: J-F
authors.initials: JF
authors.lastname: Isch
authors.forename: F
authors.initials: F
authors.lastname: Lacassin
authors.forename: Y
authors.initials: Y
authors.lastname: Rougier
authors.forename: J L
authors.initials: JL
authors.lastname: Tabaste
mesh_terms: 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
chemical_list: D000995:Antitubercular Agents; D018394:CA-125 Antigen