PELVIC-PERITONEAL TUBERCULOSIS MIMICKING OVARIAN MALIGNANCY: A CASE REPORT
Amina Kili, Fatimazahra Ait El Fadel, Mounir Moukit*, Maria El Kababri, Laila Hessissen, Mohammed El Khorassani, Mohammed Khattab and Jaouad Kouach
Pelvic-peritoneal tuberculosis is a rare extrapulmonary form witch clinical and para clinical aspects can mimic advanced ovarian cancer leading to unjustified extensive abdominal and pelvic surgery. We report a case of a 12-year-old Moroccan girl presented with abdominal distension and vague pain. Imaging studies revealed a bilateral ovarian masses and ascites. Her CA125 level was 452 U/ml; ovarian malignancy was highly suspected. Histology from diagnostic laparotomy revealed numerous granulomas with epithelioid and Langhans giant cells. The girl responded well to antituberculosis therapy with normalization of CA125 levels.
Keywords: Pelvic-peritoneal tuberculosis; CA125; ascites; ovarian cancer.
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