Adnexal fascioliasis masquerading as ovarian cancer.
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.
Yazici
Gurkan
G
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
Dilek
Umut Talat
UT
Karabacak
Tuba
T
Ertunc
Devrim
D
Korkmaz
Metin
M
Dilek
Saffet
S
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*