Isolated Bilateral Ovarian Tuberculosis Mimicking Ovarian Carcinoma: A Rare Case Report
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 4
Abstract
Genitourinary tuberculosis is not very uncommon but reports of isolated ovarian tuberculosis is rare. It can be easily misdiagnosed due to its presentation mimicking ovarian carcinoma. a 14 year old girl presented with pain abdomen, pelvic pain, abdominal distension and weight loss. Her USG abdomen showed ascites with normal adnexa but CECT abdomen showed bilateral ovarian masses. Serum CA-125 Level was elevated significantly. USG guided FNAC of the ovarian masses showed caseating mycobacterial inflammatory lesions positive for Acid Fast Bacilli with ZN Stain with no signs of malignancy. Antituberculosis treatment was started, with full resolution of her symptoms and a decrease in serum CA-125 Level. Isolated ovarian tuberculosis should be kept in mind while evaluating ovarian masses in young females of endemic zone. CA-125 is raised in both the conditions and radiological findings are mostly inconclusive. Early diagnosis and treatment of ovarian tuberculosis is vital for a young female of reproductive age group to prevent infertility.
Authors and Affiliations
Kritirupa Sarkar, Arjun Bal . K. P, Ksh. Birendra Singh, N. Biplab Singh, Wungreipam Kasare, Suresh Singh
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