J Gynecol Oncol | Volume 3, Issue 3 | Case Report | Open Access

A Case Series of Disseminated Tuberculosis Involving Pelvic Organs and Peritoneum Mimicking Advanced Ovarian Malignancy

Gashawbeza B*, Tadessie U, Felagot T, Zelele D and Tesfaye HT

Department of Obstetrics and Gynecology, Saint Paul’s Hospital Millennium Medical College, Ethiopia

*Correspondance to: Biruk Gashawbeza 

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Abstract

Tuberculosis continued to be a major socio-economic burden in developing countries. It affects mainly the lung tissue, but sometimes affects any organ in a human body. Literatures described it as a great mimicker due it its unique character to present with wide variety of sign and symptoms of other illnesses. We present four cases of disseminated tuberculosis involving the pelvic organs at the age of 22 years, 35 years, and 40 years old women who presented with nonspecific gastrointestinal symptoms. The clinical history, physical examination and imaging were all suggestive of ovarian malignancies, in addition to raised tumor marker (CA-125). In all cases the women were operated with an initial impression of ovarian malignancies. Up on entry, there is a typical macroscopic feature of tuberculosis and the operating surgeon took only biopsy. The result of the biopsy confirmed pelvic tuberculosis after which anti-tuberculosis medication was initiated. In women with abdominopelvic mass, we should always consider a possibility of pelvic tuberculosis especially in countries with high burden of tuberculosis. Radical procedures like hysterectomy and salpingo-oophorectomy could have been detrimental on the reproductive performance of these women.

Keywords:

Pelvic tuberculosis; Ovarian cancer; Case series

Citation:

Gashawbeza B, Tadessie U, Felagot T, Zelele D, Tesfaye HT. A Case Series of Disseminated Tuberculosis Involving Pelvic Organs and Peritoneum Mimicking Advanced Ovarian Malignancy. J Gynecol Oncol. 2020; 3(3): 1036.

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