title: Adnexal fascioliasis masquerading as ovarian cancer.
abstract: BACKGROUND
  Preoperative diagnosis of ovarian cancer is still problematic as multiple disease processes may present with pelvic mass. Fascioliasis is a parasitic disease producing unique clinical manifestations.
  
  
  METHODS
  A 49-year-old female patient admitted to our hospital with the complaint of occasional abdominal pain. Pelvic examination revealed a right adnexal mass. Serum CA-125 level was elevated. Explorative laparotomy was performed with the initial diagnosis of ovarian tumor. Final diagnosis was adnexal fascioliasis.
  
  
  CONCLUSIONS
  In the setting of a newly diagnosed pelvic mass, care should be taken when interpreting an elevated CA-125 level. While ovarian cancer is high on the list of differential diagnoses, atypical clinical presentation of fasciola may give rise to a misdiagnosis of malignancy.
authors.affiliation: Department of Obstetrics and Gynecology, School of Medicine, Mersin University, Liparis Plaza, Orkide Blok, Kat: 5, Daire:12, 33170 Mezitli, Mersin, Turkey. gyazici70@yahoo.com
authors.forename: Gurkan
authors.initials: G
authors.lastname: Yazici
authors.forename: Umut Talat
authors.initials: UT
authors.lastname: Dilek
authors.forename: Tuba
authors.initials: T
authors.lastname: Karabacak
authors.forename: Devrim
authors.initials: D
authors.lastname: Ertunc
authors.forename: Metin
authors.initials: M
authors.lastname: Korkmaz
authors.forename: Saffet
authors.initials: S
authors.lastname: Dilek
mesh_terms: D000818:Animals; D003937:Diagnosis, Differential; D005210:Fasciola hepatica; D005211:Fascioliasis / Q000175:diagnosis* / Q000382:microbiology; D005260:Female; D006801:Humans; D008875:Middle Aged; D010049:Ovarian Diseases / Q000175:diagnosis* / Q000469:parasitology*; D010051:Ovarian Neoplasms / Q000175:diagnosis*