A RARE CASE OF OVARIAN CARCINOMA WITH SUSPICION OF ABDOMINAL TUBERCULOSIS PRESENTING AS ACUTE ABDOMEN IN A YOUNG FEMALE

Abstract

Aims And Objectives The differential diagnosis of peritoneal tuberculosis and ovarian carcinoma is difcult at times because of overlapping clinical and lab ndings. Also, ovarian carcinoma presenting as torsion ovary is rare. Methods A 24yr old female with complains of lower abdominal pain since 10 days, history of weight loss and loss of appetite since 2 months, presented with acute lower abdominal pain and vomiting since 2 days with CECT report showing right adnexal tuboovarian mass of 8*5.4*6.2 cm with ileocaecal thickening. Patient was kept on conservative management for 2 days considering the diagnosis of abdominal tuberculosis. Tumour markers were CA-125- 201.6, CA19-9-952.5, betaHCG-24.09, Alpha fetoprotein-21.05. As patient continued to have acute pain in abdomen, MRI Pelvis was done to rule out ovarian torsion. MRI Pelvis- Right ovary grossly enlarged and twisted around the pedicle. Exploratory laparotomy was done with detorsion and removal of a solid ovarian mass. Histopathology report- Adenocarcinoma grade III. Management was done further by Chemotherapy. Results This was a case of adenocarcinoma ovary grade II in a young female which presented as ovarian torsion and was mimicking abdominal tuberculosis. Conclusion This case highlights ovarian cancer in young females with varied clinical presentation which causes delay in diagnosis and management. Ovarian carcinoma much be considered as a differential diagnosis in cases of abdominal tuberculosis and ovarian torsion