Tuberculosis peritoneal como diagnóstico diferencial de cáncer de ovario.

Background: Peritoneal tuberculosis is usually secondary to a primary pulmonary infection that disseminates through lymph or blood. The clinical picture can mimic ovarian cancer because of its vague symptoms and unspecific signs, such as an adnexal mass, ascites or an elevated CA 125 serum level. Clinical case: The patient was a 24-year-old woman with weight loss, a pleural effusion, abdominal distension, and an elevated CA 125 level. Transoperative findings were ascites, an ovarian mass, and the presence of peritoneal nodules. The pathological study of the omentum and adnexal biopsy reported tuberculosis, and antituberculosis treatment was given. Conclusion: Peritoneal tuberculosis is difficult to diagnose, it usually requires pathological studies and bacterial cultures obtained by biopsy to confirm it. With early treatment, it usually has a good prognosis. [ABSTRACT FROM AUTHOR]