The Journal of Minimally Invasive Gynecology
Volume 17, Issue 2 , Pages 143-145 , March 2010

Pelvic Tuberculosis Mimicking Advanced Ovarian Cancer

  • Paolo Mannella, MD, PhD

      Affiliations

    • Corresponding Author InformationCorresponding author: Paolo Mannella, MD, PhD, Division of Obstetrics and Gynecology, Department of Reproductive Medicine and Child Development, University of Pisa, Via Roma 67, 56100 Pisa, Italy.
  • ,
  • Andrea R. Genazzani, MD, PhD, FRCOG
  • ,
  • Tommaso Simoncini, MD, PhD

Received 18 November 2008 ,Accepted 18 March 2009.

References 

  1. Fauci A, Kasper D, Hauser S, et al. Harrison's Principles of Internal Medicine. 17th ed. New York, NY: McGraw-Hill; 2008;
  2. Brodie D, Schluger NW. The diagnosis of tuberculosis. Clin Chest Med. 2005;26:247–271
  3. Demir K, Okten A, Kaymakoglu S, et al. Tuberculous peritonitis: reports of 26 cases, detailing diagnostic and therapeutic problems. Eur J Gastroenterol Hepatol. 2001;13:581–585
  4. Zoloth SR, Safyer S, Rosen J, et al. Anergy compromises screening for tuberculosis in high-risk populations. Am J Public Health. 1993;83:749–751
  5. Balian A, de Pinieux I, Belloula D, et al. Abdominal tuberculosis: deceptive and still encountered. [in French] Presse Med. 2000;29:994–996
  6. Bandyopadhyay R, Bandyopadhyay SK, Ghosal J, Kumar U, Dutta A. Study of biochemical parameters of ascitic fluid in exudative ascites with special reference to tuberculous peritonitis. J Indian Med Assoc. 2006;104(174):176–177185
  7. Bilgin T, Karabay A, Dolar E, Develioglu OH. Peritoneal tuberculosis with pelvic abdominal mass, ascites and elevated CA 125 mimicking advanced ovarian carcinoma: a series of 10 cases. Int J Gynecol Cancer. 2001;11:290–294
  8. Hirose T, Ohta S, Sato I, et al. Tuberculous pleuro-peritonitis showing increased levels of CA125. [in Japanese] Nihon Kyobu Shikkan Gakkai Zasshi. 1997;35:196–200
  9. Kao CY, Liaw CC, Chen TC. Tuberculosis presenting with pelvic mass, peritoneal lesions, and elevation of serum CA125 mimicking malignant tumor: a case report. Chang Gung Med J. 2000;23:230–234
  10. Lantheaume S, Soler S, Issartel B, et al. Peritoneal tuberculosis simulating advanced ovarian carcinoma: a case report. [in French] Gynecol Obstet Fertil. 2003;31:624–626
  11. Mas MR, Comert B, Saglamkaya U, et al. CA-125: a new marker for diagnosis and follow-up of patients with tuberculous peritonitis. Dig Liver Dis. 2000;32:595–597
  12. Mizutani H, Horiba M, Shindoh J, Kimura T, Son M, Wakahara K. A case of tuberculous peritonitis diagnosed by a direct smear of ascitic fluid complicated with an active pulmonary tuberculosis and intestinal tuberculosis. [in Japanese] Kekkaku. 2001;76:479–484
  13. Piura B, Rabinovich A, Leron E, Yanai-Inbar I, Mazor M. Peritoneal tuberculosis mimicking ovarian carcinoma with ascites and elevated serum CA-125: case report and review of literature. Eur J Gynaecol Oncol. 2002;23:120–122
  14. Plestina S, Vrbanec D, Vidmar S, Pulanic D, Herceg D. Active pelvic-peritoneal tuberculosis with ascites and very high CA-125 level: a case report. [in Croatian] Lijec Vjesn. 2002;124:71–73
  15. Simsek H, Savas MC, Kadayifci A, Tatar G. Elevated serum CA 125 concentration in patients with tuberculous peritonitis: a case-control study. Am J Gastroenterol. 1997;92:1174–1176
  16. Thakur V, Mukherjee U, Kumar K. Elevated serum cancer antigen 125 levels in advanced abdominal tuberculosis. Med Oncol. 2001;18:289–291
  17. Verspyck E, Struder C, Wendum D, Bourgeois D, Lariven S, Marpeau L. Peritoneal tuberculosis. [in French] Ann Chir. 1997;51:375–378
  18. Androulaki A, Papathomas TG, Liapis G, et al. Inflammatory pseudotumor associated with Mycobacterium tuberculosis infection. Int J Infect Dis. 2008;12:607–610
  19. Sakorafas GH, Ntavatzikos A, Konstantiadou I, Karamitopoulou E, Kavatha D, Peros G. Peritoneal tuberculosis in pregnancy mimicking advanced ovarian cancer: a plea to avoid hasty, radical and irreversible surgical decisions. [published online ahead of print January 7, 2009] Int J Infect Dis. 2009;
  20. Yoshimura T, Okamura H. Peritoneal tuberculosis with elevated serum CA 125 levels: a case report. Gynecol Oncol. 1987;28:342–344
  21. Koh DM, Bell JR, Burkill GJ, Padley SP, Healy JC. Mycobacterial infections: still a millennium bug; the imaging features of mycobacterial infections. Clin Radiol. 2001;56:535–544
  22. Solomkin JS, Wittman DW, West MA, Barie PS. Intraabdominal infections. In:  Schwartz SI,  Spencer FC,  Galloway AC,  Shires TG,  Daly JM,  Fischer JE editor. Principles of Surgery. 7th ed. New York, NY: McGraw-Hill; 1999;

 The authors have no commercial, proprietary, or financial interest in the products or companies described in this article.

PII: S1553-4650(09)00134-4

doi: 10.1016/j.jmig.2009.03.017

The Journal of Minimally Invasive Gynecology
Volume 17, Issue 2 , Pages 143-145 , March 2010