Pelvic Tuberculosis Simulating an Ovarian Tumor at a Stage of Peritoneal Carcinosis  

作　　者：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 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(Albert Royer National Children Hospital, Dakar, Senegal;Cheikh Anta DIOP University, Dakar, Senegal;Abass Ndao Hospital Center, Dakar, Senegal)

机构地区：[1]Albert Royer National Children Hospital, Dakar, Senegal [2]Cheikh Anta DIOP University, Dakar, Senegal [3]Abass Ndao Hospital Center, Dakar, Senegal

出　　处：《Open Journal of Obstetrics and Gynecology》2021年第10期1317-1322,共6页妇产科期刊（英文）

摘　　要：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 </span><span>way with an irregular and nodular thickening of the peritoneum making</span><span> evoke </span><span>a peritoneal carcinosis. Exploratory laparotomy found a bilateral ovarian</span><span> mass with ileo-ileal, ileo-parietal and ileo-ovarian adhesions. Biopsy of the mass and the peritoneum showed a caseo-follicular gigantocellular epitheloid granulomatosis.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 </span><span>way with an irregular and nodular thickening of the peritoneum making</span><span> evoke </span><span>a peritoneal carcinosis. Exploratory laparotomy found a bilateral ovarian</span><span> mass with ileo-ileal, ileo-parietal and ileo-ovarian adhesions. Biopsy of the mass and the peritoneum showed a caseo-follicular gigantocellular epitheloid granulomatosis.

关 键 词：TUBERCULOSIS GRANULOMATOSIS Carcinosis CA125 

分 类 号：R73[医药卫生—肿瘤]