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Paper Information

Journal:   JOURNAL OF MAZANDARAN UNIVERSITY OF MEDICAL SCIENCES   Spring 2003 , Volume 13 , Number 38; Page(s) 76 To 80.
 
Paper: 

A CASE REPORT: PELVIC MASS WITH ASCITIS AND ELEVATED SERUM CA-125 LEVEL IN MILIART TUBERCULAR PERITONITIS

 
 
Author(s):  MOHIT M., IZADI N., KHANIKI M.
 
* 
 
Abstract: 

Background and purpose: Pelvic mass with ascitis and elevated serum CA-125 level is suggestive of an advanced ovarian malignancy. Peritonitis is an uncommon event. Which can have the same symptoms, therefore this phenomenon must be considered in case of differential diagnosis of ovarian carcinoma. Aim of reporting this interesting and rare case, is to make attention of colleges to this differential diagnosis prior to and during operation.

Case report: The case was a 28 years old female with ascitis and elevated serum
CA-125 level of more than 500 units per ml. Pelvic mass was reported in sonography and
CT-scan, and underwent laparatomy with probable diagnosis of advanced ovarian carcinoma. Frozen sections showed multiple necrotized caseous granulomatous lesions, highly suggestive of tuberculosis. Following treatment of tuberculosis, Serum CA-125 level declined to normal range (less than 35 units per ml) and ascitis was disappeared.

Conclusion: Peritoneal tuberculosis can have the exact symptoms of advanced ovarian tumor during surgery. Peritoneal tuberculosis may be mistaken with advanced ovarian cancer or primary peritoneal carcinoma. Hence, during operation, particularly in young females, operation must be performed after being sure about the malignancy, so, not to deprive the patient from ovarian endocrinal activity. This issue is more prevalent, paticulary in the developing countries which must be considered.

 
Keyword(s): TUBERCULOSIS, PERITONITIS, CA-125 ASCITIS
 
 
References: 
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Citations: 
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+ Click to Cite.
APA: Copy

MOHIT, M., & IZADI, N., & KHANIKI, M. (2003). A CASE REPORT: PELVIC MASS WITH ASCITIS AND ELEVATED SERUM CA-125 LEVEL IN MILIART TUBERCULAR PERITONITIS. JOURNAL OF MAZANDARAN UNIVERSITY OF MEDICAL SCIENCES, 13(38), 76-80. https://www.sid.ir/en/journal/ViewPaper.aspx?id=49786



Vancouver: Copy

MOHIT M., IZADI N., KHANIKI M.. A CASE REPORT: PELVIC MASS WITH ASCITIS AND ELEVATED SERUM CA-125 LEVEL IN MILIART TUBERCULAR PERITONITIS. JOURNAL OF MAZANDARAN UNIVERSITY OF MEDICAL SCIENCES. 2003 [cited 2021October24];13(38):76-80. Available from: https://www.sid.ir/en/journal/ViewPaper.aspx?id=49786



IEEE: Copy

MOHIT, M., IZADI, N., KHANIKI, M., 2003. A CASE REPORT: PELVIC MASS WITH ASCITIS AND ELEVATED SERUM CA-125 LEVEL IN MILIART TUBERCULAR PERITONITIS. JOURNAL OF MAZANDARAN UNIVERSITY OF MEDICAL SCIENCES, [online] 13(38), pp.76-80. Available: https://www.sid.ir/en/journal/ViewPaper.aspx?id=49786.



 
 
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