A patient with tuberculous peritonitis with very high serum CA 125

An 88-year-old woman presented with abdominal pain and distension. Serum cancer antigen 125 (CA 125) level was very high; however, abdominal CT reveals ascites without definite mass. Ascites analysis revealed a lymphocytic exudate with high adenosine deaminase enzyme level, negative stains for bacte...

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Bibliographic Details
Published in:BMJ case reports 2012-09, Vol.2012
Main Authors: Seo, Bong Soo, Hwang, In Kyeom, Ra, Ji Eun, Kim, Yong Sung
Format: Article
Language:English
Subjects:
80 years
Abdomen
Adenosine
Aged, 80 and over
Antigens
Ascites
Asia
Biomarkers
CA-125 Antigen - blood
Diagnosis, Differential
Female
Humans
Medical screening
Other Asian
Ovarian cancer
Pain
Patients
Peritonitis
Peritonitis, Tuberculous - blood
Peritonitis, Tuberculous - diagnosis
Peritonitis, Tuberculous - diagnostic imaging
Tomography, X-Ray Computed
Tuberculosis
Ultrasonic imaging
Unusual Association of Diseases/Symptoms
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Summary:An 88-year-old woman presented with abdominal pain and distension. Serum cancer antigen 125 (CA 125) level was very high; however, abdominal CT reveals ascites without definite mass. Ascites analysis revealed a lymphocytic exudate with high adenosine deaminase enzyme level, negative stains for bacteria and negative PCR for Mycobacterium tuberculosis. Presumptive diagnosis for tuberculous peritonitis was made and antituberculous therapy resulted in the resolution of ascites and normalisation of CA 125.
ISSN:1757-790X
DOI:10.1136/bcr-2012-006382