Peritoneal tuberculosis with elevated CA-125 mimicking ovarian cancer with carcinomatosis peritonei: Crucial CT findings

Research output: Contribution to journalArticle

Abstract

Preoperative diagnosis of peritoneal tuberculosis is often difficult because of confusion with ovarian cancer. A 56-year-old woman was admitted to our hospital with abdominal fullness. Ascites, prominent bilateral ovaries, and elevated CA-125 were noted. Computed tomography showed thickened peritoneum and strandings in the mesentery and omentum. Exploratory laparotomy was performed under the provisional diagnosis of ovarian cancer, but the final diagnosis was peritoneal tuberculosis. Careful evaluation of bilateral fallopian tubes and ovaries and peritoneum are helpful for correct diagnosis.

Original languageEnglish
Pages (from-to)711-715
Number of pages5
JournalEXCLI Journal
Volume15
DOIs
Publication statusPublished - 2016

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Tuberculous Peritonitis
peritoneum
ovarian neoplasms
tuberculosis
Ovarian Neoplasms
fallopian tubes
omentum
Carcinoma
mesentery
Peritoneum
laparotomy
ascites
computed tomography
Ovary
Omentum
Mesentery
Fallopian Tubes
Ascites
Laparotomy
Tomography

Cite this

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title = "Peritoneal tuberculosis with elevated CA-125 mimicking ovarian cancer with carcinomatosis peritonei: Crucial CT findings",
abstract = "Preoperative diagnosis of peritoneal tuberculosis is often difficult because of confusion with ovarian cancer. A 56-year-old woman was admitted to our hospital with abdominal fullness. Ascites, prominent bilateral ovaries, and elevated CA-125 were noted. Computed tomography showed thickened peritoneum and strandings in the mesentery and omentum. Exploratory laparotomy was performed under the provisional diagnosis of ovarian cancer, but the final diagnosis was peritoneal tuberculosis. Careful evaluation of bilateral fallopian tubes and ovaries and peritoneum are helpful for correct diagnosis.",
author = "Chien, {Jerry Chin-Wei} and Chia-Lang Fang and Chan, {Wing P}",
year = "2016",
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pages = "711--715",
journal = "EXCLI Journal",
issn = "1611-2156",
publisher = "University of Mainz",

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T2 - Crucial CT findings

AU - Chien, Jerry Chin-Wei

AU - Fang, Chia-Lang

AU - Chan, Wing P

PY - 2016

Y1 - 2016

N2 - Preoperative diagnosis of peritoneal tuberculosis is often difficult because of confusion with ovarian cancer. A 56-year-old woman was admitted to our hospital with abdominal fullness. Ascites, prominent bilateral ovaries, and elevated CA-125 were noted. Computed tomography showed thickened peritoneum and strandings in the mesentery and omentum. Exploratory laparotomy was performed under the provisional diagnosis of ovarian cancer, but the final diagnosis was peritoneal tuberculosis. Careful evaluation of bilateral fallopian tubes and ovaries and peritoneum are helpful for correct diagnosis.

AB - Preoperative diagnosis of peritoneal tuberculosis is often difficult because of confusion with ovarian cancer. A 56-year-old woman was admitted to our hospital with abdominal fullness. Ascites, prominent bilateral ovaries, and elevated CA-125 were noted. Computed tomography showed thickened peritoneum and strandings in the mesentery and omentum. Exploratory laparotomy was performed under the provisional diagnosis of ovarian cancer, but the final diagnosis was peritoneal tuberculosis. Careful evaluation of bilateral fallopian tubes and ovaries and peritoneum are helpful for correct diagnosis.

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DO - 10.17179/excli2016-625

M3 - Article

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VL - 15

SP - 711

EP - 715

JO - EXCLI Journal

JF - EXCLI Journal

SN - 1611-2156

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