Peritoneal tuberculosis mimicking advanced ovarian cancer: A retrospective review of 22 cases

Koç, Sevgi; Beydilli, Gulay; Tulunay, Gökhan; Ocalan, R.; Boran, Nurettin; Özgül, Nejat; Köse, Mehmet; Erdogan, Zuhal

doi:10.1016/j.ygyno.2006.04.010

Cited by 101 publications

(115 citation statements)

References 19 publications

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“…Peritoneal TB can be a disseminated form of TB with tubercles all over the peritoneum, intestines and omentum and may cause ascites and abdominal mass. It may masquerade as ovarian cancer as even CA 125 levels are raised in peritoneal TB with CT scan and MRI also giving similar picture and diagnosis may be made only on laparotomy done for suspected ovarian cancer [20,21]. Ascitic fluid tapping for bio-chemical analysis (elevated adenosine deaminase level in ascitic fluid in peritoneal TB) is useful in diagnosis [22].…”

Section: Etiopathogenesismentioning

confidence: 99%

“…Ascitic fluid tapping for bio-chemical analysis (elevated adenosine deaminase level in ascitic fluid in peritoneal TB) is useful in diagnosis [22]. Laparoscopic biopsy with frozen section evaluation has also been suggested to avoid laparotomy in such cases [21,22]. Positron emission tomography with 18 F-fluorodeoxy glucose (FDG-PET) has been successfully used for the preoperative diagnosis of peritoneal tuberculosis and tuberculous tubo-ovarian masses [23,24].…”

Section: Etiopathogenesismentioning

confidence: 99%

“…The various signs of FGTB depend on the site of involvement of genital organs and are shown in Table 1 [5,6,8,[18][19][20][21]28].…”

Section: Clinical Featuresmentioning

confidence: 99%

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Current Diagnosis and Management of Female Genital Tuberculosis

Sharma

2015

J Obstet Gynecol India

121

145

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Female genital tuberculosis (FGTB) is an important cause of significant morbidity, short-and longterm sequelae especially infertility whose incidence varies from 3 to 16 % cases in India. Mycobacterium tuberculosis is the etiological agent for tuberculosis. The fallopian tubes are involved in 90-100 % cases, endometrium is involved in 50-80 % cases, ovaries are involved in 20-30 % cases, and cervix is involved in 5-15 % cases of genital TB. Tuberculosis of vagina and vulva is rare (1-2 %). The diagnosis is made by detection of acid-fast bacilli on microscopy or culture on endometrial biopsy or on histopathological detection of epithelioid granuloma on biopsy. Polymerase chain reaction may be false positive and alone is not sufficient to make the diagnosis. Laparoscopy and hysteroscopy can diagnose genital tuberculosis by various findings. Treatment is by giving daily therapy of rifampicin (R), isoniazid (H), pyrazinamide (Z) and ethambutol (E) for 2 months followed by daily 4 month therapy of rifampicin (R) and isoniazid (H). Alternatively 2 months intensive phase of RHZE can be daily followed by alternate day combination phase (RH) of 4 months. Three weekly dosing throughout therapy (RHZE thrice weekly for 2 months followed by RH thrice weekly for 4 months) can be given as directly observed treatment short-course. Surgery is rarely required only as drainage of abscesses. There is a role of in vitro fertilization and embryo transfer in women whose fallopian tubes are damaged but endometrium is healthy. Surrogacy or adoption is needed for women whose endometrium is also damaged.

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Section: Etiopathogenesismentioning

confidence: 99%

Section: Etiopathogenesismentioning

confidence: 99%

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Current Diagnosis and Management of Female Genital Tuberculosis

Sharma

2015

J Obstet Gynecol India

121

145

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“…Because the clinical manifestations of PC, owing to ovarian and gastrointestinal tract malignancies, are usually similar to TBP; female patients should first be examined by a gynecologist and gastroenterologist (6).…”

Section: Turk J Gastroenterol 2017; 28: 528-30mentioning

confidence: 99%

Importance of laparoscopic intervention in the differential diagnosis of peritonitis carcinomatosa and tuberculous peritonitis

Uyanıkoğlu¹,

Uyanıkoğlu²,

Büyükfırat³

et al. 2017

Turk J Gastroenterol

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“…Ciò può avvenire anche in assenza di sintomi classici di infezione sistemica, come tosse, febbre o versamento pleurico [32]. L'ascite tubercolare rappresenta poco più dell'1% delle cause di ascite e viene diagnosticata con l'isolamento del Mycobacterium nel liquido ascitico (che richiede alcune settimane) e/o con la dimostrazione di granulomi caseosi o di bacilli alcol/acido resistenti nelle biopsie peritoneali, effettuate in corso di laparoscopia (l'accertamento considerato più conclusivo) o con la risposta dell'ascite al trattamento specifico [33][34][35][36]. I test più recenti, come l'amplificazione con PCR del DNA, consentono una diagnosi veloce, ma soffrono di scarsa sensibilità [37,38].…”

Section: Domande Da Porsiunclassified

A case of inflammatory ascites

Biolato

Gabrieli

Gallo

et al. 2008

CMI

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Un caso di ascite infiammatoria CASO CLINICOAM, donna di anni 71 anni, casalinga, nel gennaio 2007 veniva alla nostra osservazione per una progressiva distensione addominale senza dolore accusata negli ultimi quattro mesi, associata al peggioramento dei suoi abituali edemi declivi (normalmente presenti ma di minore entità) e per dispnea per sforzi lievi nell'ultima settimana, non accompagnata da alterazioni dell'alvo o febbre.La paziente era affetta da diabete mellito di tipo 2 e da cardiopatia valvolare mitralica trattata con sostituzione valvolare metallica (protesi di Biork-Shiley) nel 1982, complicata da fibrillazione atriale cronica e ipertensione polmonare, con pregressa perforazione del lembo d'inserzione (1998). Nel 1986 era stata sottoposta a colecistectomia per litiasi.La paziente riferiva allergia alla penicillina (orticaria-angioedema), intolleranza agli ACE-inibitori (tosse secca) ed allergia AbstractEven ascites appears mainly as sign of portal hypertension in patiens with liver cirrhosis, in some case depends on a different lying condition such as right congestive heart failure, peritoneal carcinomatosis or tuberculosis. In these cases, paracentesis represents the key tool for diagnosis. We report a case of cardiac ascites in a 71-years-old woman who developed in four-month an abdominal distension. Preliminary exams showed exudative ascites related to portal hypertension, a pelvic mass with caseous apparence, and inflammatory status ad an elevation of CA-125. Successive evaluation exluded peritoneal carcinomatosis or tuberculosis, underlyng a tricuspidal regurgitation. The literature on ascites has also been reviewed.

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Peritoneal tuberculosis mimicking advanced ovarian cancer: A retrospective review of 22 cases

Cited by 101 publications

References 19 publications

Current Diagnosis and Management of Female Genital Tuberculosis

Current Diagnosis and Management of Female Genital Tuberculosis

Importance of laparoscopic intervention in the differential diagnosis of peritonitis carcinomatosa and tuberculous peritonitis

A case of inflammatory ascites

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