Abstract
Although genitourinary tuberculosis (TB) is common, reports of isolated ovarian TB are rare. However, its presentation can mimic that of an ovarian tumor, leading to diagnostic difficulties. A 25-year-old woman presented with chronic pelvic pain, weight loss, a right ovarian mass on ultrasound, and a significantly elevated cancer antigen 125 (CA-125) level. Laparotomy was performed with resection of the right ovary. Postoperative histological examination, however, revealed evidence of TB, with no signs of malignancy. Anti-TB treatment was commenced, with full resolution of her symptoms and a decrease in CA-125 level. Isolated ovarian TB is most common in young women living in endemic zones. CA-125 can be raised in many conditions, and imaging is rarely conclusive. Intraoperative frozen section of tissue specimens can be helpful if available. Early diagnosis of ovarian TB is vital as untreated disease can lead to infertility.
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