TY - JOUR
T1 - An Indonesian female with peritoneal tuberculosis mimicking ovarium carcinoma
T2 - A rare case
AU - Yandi, I. Komang Rusgi
AU - Koesoemoprodjo, Winariani
N1 - Publisher Copyright:
© 2023 The Authors
PY - 2023/8
Y1 - 2023/8
N2 - Introduction: Peritoneal tuberculosis is rare when patients with abdominal pain need to be considered for tuberculosis testing. Case presentation: An Indonesian female, 19 years old, complained of abdominal pain and enlargement. Laboratory examination is abnormal, including thrombocytosis of 687,000/uL and Ca-125 of 3483 U/mL. Ultrasound and CT scan of the abdomen showed cystic lesions in the pelvic cavity, enlargement of the abdominal lymph nodes, and ascites. She was diagnosed with ovarian carcinoma. The patient underwent surgery and obtained nodules such as tuberculoma. Nodule biopsy results showed granulomatous inflammation. The patient was given anti-tuberculosis drug (ATD) category 1 for 2 months and continued with category 2 for 7 months (total 9 months of treatment). The prognosis showed improvement, and weight increased by 15 kg (from 40 kg to 55 kg). Discussion: The challenge of peritoneal tuberculosis is the absence of specific signs and symptoms. Therefore, tuberculosis testing must be considered if tuberculosis is endemic in patients with abdominal pain who do not show a good prognosis when treated according to the developed signs and symptoms. Conclusion: Suspicion of tuberculosis infection should be evaluated in endemic tuberculosis because some tuberculosis infections, such as peritoneal tuberculosis, do not have specific signs and symptoms.
AB - Introduction: Peritoneal tuberculosis is rare when patients with abdominal pain need to be considered for tuberculosis testing. Case presentation: An Indonesian female, 19 years old, complained of abdominal pain and enlargement. Laboratory examination is abnormal, including thrombocytosis of 687,000/uL and Ca-125 of 3483 U/mL. Ultrasound and CT scan of the abdomen showed cystic lesions in the pelvic cavity, enlargement of the abdominal lymph nodes, and ascites. She was diagnosed with ovarian carcinoma. The patient underwent surgery and obtained nodules such as tuberculoma. Nodule biopsy results showed granulomatous inflammation. The patient was given anti-tuberculosis drug (ATD) category 1 for 2 months and continued with category 2 for 7 months (total 9 months of treatment). The prognosis showed improvement, and weight increased by 15 kg (from 40 kg to 55 kg). Discussion: The challenge of peritoneal tuberculosis is the absence of specific signs and symptoms. Therefore, tuberculosis testing must be considered if tuberculosis is endemic in patients with abdominal pain who do not show a good prognosis when treated according to the developed signs and symptoms. Conclusion: Suspicion of tuberculosis infection should be evaluated in endemic tuberculosis because some tuberculosis infections, such as peritoneal tuberculosis, do not have specific signs and symptoms.
KW - Ovarium carcinoma
KW - Peritoneal tuberculosis
KW - Tuberculosis
KW - Tuberculosis endemic
UR - http://www.scopus.com/inward/record.url?scp=85165238859&partnerID=8YFLogxK
U2 - 10.1016/j.ijscr.2023.108493
DO - 10.1016/j.ijscr.2023.108493
M3 - Article
AN - SCOPUS:85165238859
SN - 2210-2612
VL - 109
JO - International Journal of Surgery Case Reports
JF - International Journal of Surgery Case Reports
M1 - 108493
ER -