A case report of peritoneal tuberculosis: the diagnostic role of PET/CT and laparoscopy

Czech version

Authors: H. Macháčková ^1,2; R. Pilka ¹; S. Losse ³; M. Žurková ³; V. Lošťáková ³; T. Tichý ⁴; Y. Lovečková ⁵
Authors‘ workplace: Porodnicko-gynekologická klinika FN a LF UP, Olomouc, přednosta prof. MUDr. R. Pilka, Ph. D. ¹; Gynekologicko-porodnické oddělení Nemocnice Nový Jičín, a. s., primář MUDr. P. Bartoš, Ph. D., MMED ²; Klinika plicních nemocí a tuberkulózy FN, Olomouc, přednosta prof. MUDr. V. Kolek, DrSc. ³; Ústav klinické a molekulární patologie FN, Olomouc, přednosta prof. MUDr. Z. Kolář, CSc. ⁴; Ústav mikrobiologie FN, Olomouc, přednosta prof. MUDr. M. Kolář, Ph. D. ⁵
Published in: Ceska Gynekol 2017; 82(4): 300-307

Overview

Objective:
We present a case of peritoneal tuberculosis of young woman with focus on difficult diagnosis of this low incidence disease in developed countries.

Design:
Case report.

Setting:
Department of Gynaecology and Obstetrics, Faculty Hospital, Olomouc. Department of Obstetric and Gynaecology, Nový Jičín Hospital. Department of Pulmonary Diseases and Tuberculosis, Faculty Hospital, Olomouc. Department of Pathology nad Molecular Medicine, Faculty Hospital, Olomouc. Department of Micobiology, Faculty Hospital, Olomouc.

Case report:
Peritoneal tuberculosis is an uncommon site of extrapulmonary infection caused by Mycobacterium tuberculosis. Diagnosis is often difficult and because of its nonspecific clinical, laboratory and radiological findings, the disease may be mistaken as ovarian malignancy. We present a case of 28 years old woman with ascites, enlarged lymphonodes, elevated Ca 125 and unusuall adnexal masses on PET/CT in ovarian locality. The diagnosis of tuberculosis in our case was made by laparoscopy and cultivation of Mycobacterium tuberculosis.

Conclusion:
In women with ascites and Ca 125 elevation, the posibility of TB infection should be, despite the low incidence of this disease in developed countries, still considered.

Keywords:
tuberculosis, elevation of Ca 125, ascites

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