Pelvic-peritoneal pseudotumoral tuberculosis with elevated CA 125 mimicking ovarian cancer: A case report

Tuberculosis is an infectious disease caused by Mycobacterium tuberculosis. It constitutes a public health problem, especially in developing countries. Pelvic localization is rare with tubal involvement being the most frequent. It presents clinically, radiologically, and biologically as an ovarian t...

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Bibliographic Details
Published in:Radiology case reports 2025-01, Vol.20 (1), p.182-186
Main Authors: jellal, Chaymaa, Kabila, Badr, Mesbah, Oumaima, Beqqali, Basma, Badri, Bouchra, Reguig, Nezha, Khmou, Mouna, Aharmim, Mohammed, Bourkadi, Jamal Eddine, El Khannoussi, Basma, Omor, Youssef, Latib, Rachida, Amalik, Sanae
Format: Article
Language:English
Subjects:
Adnexal mass
Case Report
Ovarian-Adnexal Reporting and Data System (ORADS 5)
Pelvic tuberculosis
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Summary:Tuberculosis is an infectious disease caused by Mycobacterium tuberculosis. It constitutes a public health problem, especially in developing countries. Pelvic localization is rare with tubal involvement being the most frequent. It presents clinically, radiologically, and biologically as an ovarian tumor. We report the case of a patient who presented to the emergency department with pelvic pain, an abdominal-pelvic mass, and a general state of deterioration. The patient had a high CA125 level, and imaging initially suggested a neoplastic origin. She underwent laparoscopy with histopathological examination, confirming the diagnosis of tuberculosis, showing giant cell granulomas with caseous necrosis. A favorable outcome was observed on all fronts after antitubercular treatment.
ISSN:1930-0433
1930-0433
DOI:10.1016/j.radcr.2024.09.020