TITLE:
Pelvic Tuberculosis Simulating an Ovarian Tumor at a Stage of Peritoneal Carcinosis
AUTHORS:
Mohameth Mbodj, Idrissa D. Ba, Yaay Dior K. B. Dieng, Fatim Tall, Amadou Sow, Serigne T. Ndiaye, Guilaye Diagne, Khadim Bop, Pape S. Sow, Sofiatou Dieye, Sadio Konaté, Ibrahima Diop, Aziz Faye, Amadou L. Fall, Ousmane Ndiaye
KEYWORDS:
Tuberculosis, Granulomatosis, Carcinosis, Ca125
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.11 No.10,
October
12,
2021
ABSTRACT: Tuberculosis
is a global public health problem with 10 million people developing an active
form each year. The exact incidence of the pelvic form of tuberculosis is not
known due to under-reporting of asymptomatic cases, vague symptomatology and
lack of reliable diagnosis. We report a case of ovarian tuberculosis mimicking
cancer and peritoneal carcinosis. The case involved a 15-year-old girl,
hospitalized for severe pelvic pain and secondary amenorrhea. The examination
showed an altered general state, a fever, a sensitive distended abdomen. The
biology showed an elevation of Ca125 to 357 IU/ml. The CT scan showed a
latero-uterine mass taking contrast in a heterogeneous way with an irregular and nodular thickening of the peritoneum making evoke a peritoneal carcinosis. Exploratory
laparotomy found a bilateral ovarian mass with ileo-ileal, ileo-parietal
and ileo-ovarian adhesions. Biopsy of the mass and the peritoneum showed a
caseo-follicular gigantocellular epitheloid granulomatosis.