A Case of Peritoneal-Pelvic Tuberculosis With Elevated CA-125; An Enigma as Ovarian Cancer

  • Prakash Raj Oli Nepalese Army Institute of Health Sciences, Shree Birendra Hospital, Chhauni, Kathmandu, Nepal.
  • Rosy Vaidya Malla Nepalese Army Institute of Health Sciences, Shree Birendra Hospital, Chhauni, Kathmandu, Nepal.
  • Kavita Karmacharya Nepalese Army Institute of Health Sciences, Shree Birendra Hospital, Chhauni, Kathmandu, Nepal.
Keywords: CA-125, Nepal, Ovarian Cancer, Periotoneal-Pelvic Tuberculosis

Abstract

Peritoneal-pelvic tuberculosis is a rare form of extrapulmonary-TB mainly affecting women of 20-40 years, especially in TB endemic countries. It classically presents with abdominal pain, menstrual irregularities, adnexal mass, and elevated serum CA-125 level, creating confusion with genital malignancy, especially ovarian one leading to difficulty in its management and often leads to devastating surgeries. Here's a case of peritoneal-pelvic TB, a young lady with abdominal pain, radiologic associates and adnexal mass, and elevated serum CA-125 level is presented. So, it should always be one of the differential diagnosis of ovarian cancer especially among young women in TB endemic countries.

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Author Biographies

Prakash Raj Oli, Nepalese Army Institute of Health Sciences, Shree Birendra Hospital, Chhauni, Kathmandu, Nepal.

Intern

Rosy Vaidya Malla, Nepalese Army Institute of Health Sciences, Shree Birendra Hospital, Chhauni, Kathmandu, Nepal.

Department of Gynecology and Obstetrics

Kavita Karmacharya, Nepalese Army Institute of Health Sciences, Shree Birendra Hospital, Chhauni, Kathmandu, Nepal.

Department of Pathology

Published
2019-07-12
How to Cite
Oli, P., Malla, R., & Karmacharya, K. (2019). A Case of Peritoneal-Pelvic Tuberculosis With Elevated CA-125; An Enigma as Ovarian Cancer. Medical Journal of Shree Birendra Hospital, 18(2), 60-63. https://doi.org/10.3126/mjsbh.v18i2.22390
Section
Case Reports