title: Pelvic-peritoneal tuberculosis simulating peritoneal carcinomatosis: high clinical suspicion and a minimally invasive procedure.
abstract: Peritoneal tuberculosis (TB) is still a major health problem in developing countries. We describe a 26-year-old woman with peritoneal TB presenting with lower abdominal pain and distention, weight loss, and night sweats. There are no pathognomonic clinical, laboratory, or radiologic findings for peritoneal TB. Therefore, it can be easily confused with peritoneal carcinomatosis and advanced ovarian carcinoma. Adenosine deaminase activity in ascitic fluid combined with a high clinic suspicion is an effective and minimally invasive procedure for the differential diagnosis of pelvic-peritoneal TB simulating peritoneal carcinomatosis, and may obviate the need for unnecessary extensive surgery and rapidly initiate appropriate therapy.
authors: Department of Obstetrics and Gynaecology, Yuzuncu Yil University, Van, Turkey. ertanadali@gmail.com
authors: Ertan
authors: E
authors: Adali
authors: Cumhur
authors: C
authors: Dulger
authors: Ali
authors: A
authors: Kolusari
authors: Mertihan
authors: M
authors: Kurdoglu
authors: Recep
authors: R
authors: Yildizhan
mesh_terms: D000243:Adenosine Deaminase / Q000032:analysis; D000328:Adult; D001202:Ascitic Fluid / Q000201:enzymology; D018394:CA-125 Antigen / Q000097:blood; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D010534:Peritoneal Neoplasms / Q000097:blood / Q000175:diagnosis* / Q000201:enzymology / Q000473:pathology; D014395:Peritonitis, Tuberculous / Q000097:blood / Q000175:diagnosis* / Q000201:enzymology / Q000473:pathology
chemical_list: D018394:CA-125 Antigen; D000243:Adenosine Deaminase