Incidental Finding of Intraperitoneal Tuberculosis in a Patient Presenting with a Large Ovarian Mass

Author:

Green Ayla1ORCID,Elmasry Samer1,Ihalagama Himali1,Senaratne Saman1

Affiliation:

1. Hervey Bay Hospital, Urraween Rd, Pialba, QLD 4655, Australia

Abstract

A 52-year-old postmenopausal female of Filipino heritage presented with a three-day history of increasing abdominal bloating, vomiting, and fever. A CT scan revealed a 22 cm ovarian mass and ascites. Her laboratory results were unremarkable except for CA-125 and CA-19.9 which were slightly elevated. Due to suspicion of ovarian neoplasm, she underwent a laparotomy where multiple inflammatory deposits were observed throughout the pelvis. Histology confirmed florid granulomatous inflammation with caseous necrosis, and peritoneal fluid culture was positive for tuberculosis. She was treated with standard antimycobacterial therapy and made an uneventful recovery.

Publisher

Hindawi Limited

Subject

General Medicine

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