Tuberculous Peritonitis Associated with Ovarian Teratoma Presenting as Peritoneal Carcinomatosis
Objective: Peritoneal tuberculosis (TB) is a fatal disease if not promptly diagnosed. We present a case of unexplained ascites with miliary peritoneal TB and a review of the literature. Case Report: A 56-year-old woman was admitted to our hospital because of severe abdominal fullness for 20 days. Co...
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doaj-ba4d9f8ebbb240d2ab9acdeeaa7164352020-11-24T22:47:53ZengElsevierTaiwanese Journal of Obstetrics & Gynecology1028-45592005-06-0144216416710.1016/S1028-4559(09)60131-5Tuberculous Peritonitis Associated with Ovarian Teratoma Presenting as Peritoneal CarcinomatosisChun-Yuan Su0Yuh-Cheng Yang1Chin-Yuan Tzen2Jen-Ruei Chen3Department of Obstetrics and Gynecology, Mackay Memorial Hospital, Taipei, TaiwanDepartment of Obstetrics and Gynecology, Mackay Memorial Hospital, Taipei, TaiwanDepartment of Pathology, Mackay Memorial Hospital, Taipei, TaiwanDepartment of Obstetrics and Gynecology, Mackay Memorial Hospital, Taipei, TaiwanObjective: Peritoneal tuberculosis (TB) is a fatal disease if not promptly diagnosed. We present a case of unexplained ascites with miliary peritoneal TB and a review of the literature. Case Report: A 56-year-old woman was admitted to our hospital because of severe abdominal fullness for 20 days. Computed tomography scans of the abdomen showed massive ascites and a huge intrapelvic mass mimicking an ovarian dermoid cyst. Laboratory examinations revealed an elevated serum cancer antigen 125 level of 1,132.9 IU/mL and normal chest roentgenographic findings. About 5 L of ascitic fluid and many superficial whitish miliary deposits on the intra-abdominal and pelvic surfaces were found during exploratory laparotomy. A right ovarian cystic mass measuring 15 × 14 × 10 cm in size was noted and removed. Pathologic studies of the cyst revealed a mature cystic teratoma, and all the specimens from the peritoneum and the ovarian surface had chronic granulomatous inflammation with central caseous necrosis compatible with TB. She received postoperative anti-TB chemotherapy and was doing well 5 months after surgery. Conclusion: Tuberculous peritonitis is not easy to diagnose. We suggest that tuberculous peritonitis associated with ovarian teratoma should be included in the differential diagnosis of peritoneal carcinomatosis.http://www.sciencedirect.com/science/article/pii/S1028455909601315ascitesovarian teratomatuberculous peritonitis |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Chun-Yuan Su Yuh-Cheng Yang Chin-Yuan Tzen Jen-Ruei Chen |
spellingShingle |
Chun-Yuan Su Yuh-Cheng Yang Chin-Yuan Tzen Jen-Ruei Chen Tuberculous Peritonitis Associated with Ovarian Teratoma Presenting as Peritoneal Carcinomatosis Taiwanese Journal of Obstetrics & Gynecology ascites ovarian teratoma tuberculous peritonitis |
author_facet |
Chun-Yuan Su Yuh-Cheng Yang Chin-Yuan Tzen Jen-Ruei Chen |
author_sort |
Chun-Yuan Su |
title |
Tuberculous Peritonitis Associated with Ovarian Teratoma Presenting as Peritoneal Carcinomatosis |
title_short |
Tuberculous Peritonitis Associated with Ovarian Teratoma Presenting as Peritoneal Carcinomatosis |
title_full |
Tuberculous Peritonitis Associated with Ovarian Teratoma Presenting as Peritoneal Carcinomatosis |
title_fullStr |
Tuberculous Peritonitis Associated with Ovarian Teratoma Presenting as Peritoneal Carcinomatosis |
title_full_unstemmed |
Tuberculous Peritonitis Associated with Ovarian Teratoma Presenting as Peritoneal Carcinomatosis |
title_sort |
tuberculous peritonitis associated with ovarian teratoma presenting as peritoneal carcinomatosis |
publisher |
Elsevier |
series |
Taiwanese Journal of Obstetrics & Gynecology |
issn |
1028-4559 |
publishDate |
2005-06-01 |
description |
Objective: Peritoneal tuberculosis (TB) is a fatal disease if not promptly diagnosed. We present a case of unexplained ascites with miliary peritoneal TB and a review of the literature.
Case Report: A 56-year-old woman was admitted to our hospital because of severe abdominal fullness for 20 days. Computed tomography scans of the abdomen showed massive ascites and a huge intrapelvic mass mimicking an ovarian dermoid cyst. Laboratory examinations revealed an elevated serum cancer antigen 125 level of 1,132.9 IU/mL and normal chest roentgenographic findings. About 5 L of ascitic fluid and many superficial whitish miliary deposits on the intra-abdominal and pelvic surfaces were found during exploratory laparotomy. A right ovarian cystic mass measuring 15 × 14 × 10 cm in size was noted and removed. Pathologic studies of the cyst revealed a mature cystic teratoma, and all the specimens from the peritoneum and the ovarian surface had chronic granulomatous inflammation with central caseous necrosis compatible with TB. She received postoperative anti-TB chemotherapy and was doing well 5 months after surgery.
Conclusion: Tuberculous peritonitis is not easy to diagnose. We suggest that tuberculous peritonitis associated with ovarian teratoma should be included in the differential diagnosis of peritoneal carcinomatosis. |
topic |
ascites ovarian teratoma tuberculous peritonitis |
url |
http://www.sciencedirect.com/science/article/pii/S1028455909601315 |
work_keys_str_mv |
AT chunyuansu tuberculousperitonitisassociatedwithovarianteratomapresentingasperitonealcarcinomatosis AT yuhchengyang tuberculousperitonitisassociatedwithovarianteratomapresentingasperitonealcarcinomatosis AT chinyuantzen tuberculousperitonitisassociatedwithovarianteratomapresentingasperitonealcarcinomatosis AT jenrueichen tuberculousperitonitisassociatedwithovarianteratomapresentingasperitonealcarcinomatosis |
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