Obstet Gynecol Sci.  2015 Jan;58(1):69-72. 10.5468/ogs.2015.58.1.69.

Peritoneal carcinomatosis mimicking a peritoneal tuberculosis

• Jung EY
• Hur YJ
• Lee YJ
• Han HS
• Sang JH
• Kim YS

• KMID: 1994230
• DOI: http://doi.org/10.5468/ogs.2015.58.1.69

Abstract

Symptoms of a peritoneal progression from ovarian cancer are nonspecific such as abdominal pain, abdominal distention and more. Many imaging studies and serum CA-125 help diagnosis. However, it is difficult to exclude the instances of the diffuse peritoneal diseases that mimic carcinomatosis. The elevated CA-125 level usually correlates with the peritoneal carcimatosis, but it is often found in other peritoneal diseases. Therefore, the pathologic confirmation is necessary because of other mimicking diseases. In our case, CA-125 levels were elevated. Abdominal computed tomography finding was suspected a peritoneal tuberculosis but the pathologic result was the peritoneal carcimatosis, eventually.

Keyword

Peritoneal carcinomatosis; Peritoneal tuberculosis

MeSH Terms

Abdominal Pain
Carcinoma*
Diagnosis
Ovarian Neoplasms
Peritoneal Diseases
Peritonitis, Tuberculous*

Figure

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  Fig. 1 Abdomen CT shows low density fluid collection (open arrow) in abdominal and pelvic cavity with an enhancing thickening of the peritoneum (solid arrow)

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  Fig. 2 (A) Small amounts of ascite in pelvic cavity. (B) Severe adhesion between pelvic wall and intestine. (C) Suspicious tuberculosis peritonitis lesion in pelvic wall.

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