A deceiving disease in women for clinicians: peritoneal tuberculosis.
BACKGROUND
Peritoneal tuberculosis (TB) is uncommon in developed countries, although there is an increase in incidence due to the patients with acquired immunodeficiency syndrome and in immigrants from countries with tuberculosis. The aim of the study was to identify characteristic features of peritoneal tuberculosis (TB), which may be useful for the clinical differential diagnosis and management of this deceiving disease.


METHODS
For this retrospective study, 18 patients, who were diagnosed with peritoneal TB were identified after surgery.


RESULTS
Initial presentation consisted of ascites, pelvic masses, and elevated levels of CA-125. All patients were initially misdiagnosed as ovarian carcinoma. Tissue biopsies obtained from laparoscopy or laparotomy revealed accurate diagnosis of peritoneal TB.


CONCLUSIONS
Peritoneal TB should be included in the differential diagnosis ofascites and pelvic masses and can be accurately diagnosed by laparoscopic biopsy.
S E
SE
Akhan
E
E
Bastu
F
F
Gungor-Ugurlucan
A C
AC
Iyibozkurt
S
S
Topuz
D015746:Abdominal Pain / Q000209:etiology; D000293:Adolescent; D000328:Adult; D000368:Aged; D001201:Ascites; D003937:Diagnosis, Differential; D005221:Fatigue / Q000209:etiology; D005260:Female; D006801:Humans; D007044:Hysterectomy; D007813:Laparotomy; D008599:Menstruation Disturbances / Q000209:etiology; D008875:Middle Aged; D010051:Ovarian Neoplasms / Q000175:diagnosis; D010052:Ovariectomy; D014395:Peritonitis, Tuberculous / Q000175:diagnosis*; D012189:Retrospective Studies; D058994:Salpingectomy; D015431:Weight Loss; D055815:Young Adult