Ovarian tuberculosis mimicking a malignant tumour

Yebouet, E.; Olivier, Moulot Martial; Koui, Sylvanus; Bankole, S R

doi:10.4103/0189-6725.160438

Cited by 7 publications

(4 citation statements)

References 4 publications

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“…In another study, Yebouet et al . presented the case of a 15-year-old girl which was similar to our patient; the difference was that, in their case, the girl had a single kidney and the diagnosis and management were more difficult because of the possibility of kidney cancer [4] . Lantheaume et al also revealed that ovarian tuberculosis can mimic the radiological, clinical, and laboratory features of ovarian cancer [8] .…”

Section: Discussionsupporting

confidence: 55%

“…Extrapulmonary tuberculosis includes about 15%–20% of all cases of tuberculosis, and abdominopelvic tuberculosis is the sixth most common form [3] . The most common spots of pelvic tuberculosis are the fallopian tubes, the cervix, the endometrium, and the ovaries, respectively [4] . This type of tuberculosis usually originates from pulmonary tuberculosis.…”

Section: Discussionmentioning

confidence: 99%

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Rare radiological features of abdominopelvic tuberculosis: A case report

Gharibvand

Ahmadzadeh

Mohtadi

2019

Radiology Case Reports

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The prevalence of tuberculosis is rising. The patient we were introduced to was a 26-year-old woman with no history of medical diseases, except for abdominal pain and vaginal bleeding. During the evaluation, we found high serum levels of cancer antigen-125 and radiological features in the abdominal computed tomography scan, which was more indicative of ovarian cancer. The patient underwent a surgery with the presumptive diagnosis of ovarian cancer. After the surgery, histopathology and acid fast on biopsy specimens revealed diagnosis of ovarian tuberculosis.

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Section: Discussionsupporting

confidence: 55%

Section: Discussionmentioning

confidence: 99%

Rare radiological features of abdominopelvic tuberculosis: A case report

Gharibvand

Ahmadzadeh

Mohtadi

2019

Radiology Case Reports

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“… 8 Initial diagnoses of TOA or ovarian malignancy can be mistaken given the similarities in clinical, radiologic, and serum markers such as an elevated cancer antigen-125 (CA-125). 8 - 12 CA-125 is elevated in 80% of postmenopausal ovarian carcinomas. 8 However in premenopausal women, elevations in CA-125 have been noted in endometriosis, TB, and other nonneoplastic diseases.…”

Section: Discussionmentioning

confidence: 99%

Fatal Pulmonary Embolism in the Setting of Immune Reconstitution Inflammatory Syndrome Attributed to Ovarian Tuberculosis

Ugalde

Pirela

Presti

et al. 2017

Journal of Investigative Medicine High Impact Case Reports

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In developed countries, tuberculosis remains a health care challenge due to human immunodeficiency virus (HIV) and immigration from endemic regions. The Centers for Disease Control and Prevention reported 9557 new cases in 2015, with extrapulmonary involvement in 20.2% of the cases. We present a 33-year-old woman from Cape Town, South Africa, who developed abdominal pain and fever while working on a cruise ship. She sought medical where she underwent computed tomography of her chest, abdomen, and pelvis with findings suggestive of pulmonary tuberculosis and an 8.9-cm pelvic mass. HIV testing was positive and the patient was started on antiretroviral therapy. Bronchoscopy confirmed the presence of acid-fast bacilli, and she was started on rifampin, isoniazid, pyrazinamide, and ethambutol. She remained persistently febrile, raising suspicion for immune reconstitution inflammatory syndrome. However, despite empiric antibiotics, the patient remained persistently febrile, tachycardic, and on day 10 of admission she went into ventricular fibrillation and expired. Autopsy revealed an occlusive thrombus in the left main pulmonary artery in addition to necrotizing granulomata in multiple organs and bilateral tubo-ovarian abscesses. Postmortem cultures for were positive for Mycobacterium tuberculosis, all consistent with disseminated Mycobacterium tuberculosis. Although previous reports underscore the association between tuberculosis and hypercoagulability, the exact mechanism remains unknown. In this article, we report a case of disseminated tuberculosis complicated by bilateral tubo-ovarian abscesses with fatal pulmonary thrombus formation.

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“…The presence of abdominopelvic pain, ascites, nausea, vomiting, and anorexia associated with imaging tests showing pelvic mass were reported in patients with abdominopelvic tuberculosis [ 4 , 8 – 11 ] and may be associated with increased serum CA-125 levels [ 4 , 8 – 10 ]. In these women, the association of these symptoms, imaging tests, and CA 125 levels mimicked ovarian cancer, delaying the tuberculosis diagnosis.…”

Section: Discussionmentioning

confidence: 99%

Abdominopelvic Tuberculosis with a Frozen Section Analysis Consistent with Ovarian Cancer

Martins-Filho

Crispim

Etchebehere

et al. 2017

Case Reports in Infectious Diseases

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Pelvic tuberculosis is a type of extrapulmonary tuberculosis. The disease is accompanied by clinical and laboratory findings which may be unspecific and present aspects of other diseases, including gynecological malignancies. In this report, the authors presented a case of pelvic tuberculosis associated with peritoneal tuberculosis in a young woman exhibiting imaging and tumor markers consistent with ovarian neoplasm. An intraoperative frozen section analysis detected atypical cells that were suggestive of ovarian borderline or malignant epithelial neoplasia. The pathological analysis showed granulomatous inflammation in the right ovary and fallopian tube with a pattern of mycobacteriosis that was consistent with the presence of mycobacteria morphologically compatible with Mycobacterium tuberculosis. The patient had a complete remission after the use of antituberculosis drugs.

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Ovarian tuberculosis mimicking a malignant tumour

Cited by 7 publications

References 4 publications

Rare radiological features of abdominopelvic tuberculosis: A case report

Rare radiological features of abdominopelvic tuberculosis: A case report

Fatal Pulmonary Embolism in the Setting of Immune Reconstitution Inflammatory Syndrome Attributed to Ovarian Tuberculosis

Abdominopelvic Tuberculosis with a Frozen Section Analysis Consistent with Ovarian Cancer

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