title: A case report of peritoneal tuberculosis with multiple miliary peritoneal deposits mimicking advanced ovarian carcinoma.
abstract: BACKGROUND
  Peritoneal tuberculosis accounts 1-2% of all forms of tuberculosis. Peritoneal tuberculosis is an important differential diagnosis for ovarian cancer in women with ascites, adnexal mass and elevated cancer antigen 125 (CA125) levels. We report a case of a 32- year -old woman with multiple miliary peritoneal deposits mimicking advanced ovarian carcinoma.
  
  
  METHODS
  A 32-year-old drug addicted woman presented with menometrorrhagia, fever and shivering, ascites and pelvis mass. Ultrasonography revealed a 53×65 mm cyst in left ovary and ascites. Multiple miliary peritoneal deposits were observed during laparatomy without any mass, histologic examination confirmed tuberculosis of uterus, tubes, omentum, liver and external surfaces of small intestine. Finally, the patient recovered with anti-tuberculosis treatment.
  
  
  CONCLUSIONS
  These findings highlight considering tuberculosis in the differential diagnosis of any patients with adnexal mass, ascitis and elevated serum CA125 even with negative cytology and bacteriology test results.
authors.affiliation: Fateme Zahra Fertility & Infertility Research Health Center, Babol of University of Medical Science Babol, Iran.
authors.forename: Shahla
authors.initials: S
authors.lastname: Yazdani
authors.affiliation: Infectious Diseases and Tropical Medicine Research Center, Babol University of Medical Sciences, Babol, Iran.
authors.forename: Mahmod
authors.initials: M
authors.lastname: Sadeghi
authors.affiliation: Department Surgery, Babol University of Medical Sciences, Babol, Iran.
authors.forename: Abolhasan
authors.initials: A
authors.lastname: Alijanpour
authors.affiliation: The Clinical Research Development Unit of Rouhani Hospital, Babol University of Medical Sciences, Babol, Iran.
authors.forename: Mojgan
authors.initials: M
authors.lastname: Naeimi-Rad
keywords: CA125; Carcinoma; Ovary; Peritoneal; Tuberculosis