Wasting syndrome Ovarian cancer versus peritoneal tuberculosis: A case report

Abstract

Peritoneal tuberculosis (TB) corresponds to between 1 and 3% of all tuberculosis localizations is greater in developed countries, The diagnosis of peritoneal TB can be a challenge for clinicians, due to nonspecific clinical and laboratory findings, they can present signs and symptoms similar to ovarian cancer, pelvic inflammatory disease as well as peritoneal carcinomatosis. Multiple cases of patients with ascites, pelvic masses, elevated CA-125 levels, peritoneal implants, mesenteric involvement, and paracentesis without malignant cells without being able to demonstrate the presence of mycobacteria preoperatively have been described, so they are operated on on suspicion of carcinoma of the advanced ovary diagnosing tuberculosis as A 19-year-old woman was referred by an internist and digestive surgeon with abdominal distension and weight loss. The CT scan of the abdomen showed thickening of the stomach wall with ascites. CA 125 levels raised to 2100 U/mL and the At first it was addressed as ovarian cancer, laparoscopy was performed with a biopsy sample, concluding peritoneal tuberculosis. antituberculous therapy is started, 2 weeks later patient course with (DILI), with torpid evolution which leads to his death. The objective of the clinical case is to broaden our medical outlook with differential diagnoses in the face of chronic abdominal pain in women and to remember the importance of early diagnosis, as well as clinical follow-up, for early intervention of adverse effects.