• 作者：O. Ocó ; n Hern&#225 ; ndez^a ; ^b ; ^{nocoaglo@hotmail.com} ; M.C. Garrido S&#225 ; nchez^c ; M.J. Garcí ; a-Garcí ; a^b ; E.M. Martí ; nez-Lopera^b
• 关键词：Tuberculosis genital ; C&aacute ; ncer de ovario ; Diagn&oacute ; stico diferencial
• 刊名：Cl铆nica e Investigaci贸n en Ginecolog铆a y Obstetricia
• 出版年：2012
• 期刊代码：pca89_0210573X
• 类别：med
• 出版时间：May-June, 2012
• 卷：39
• 期：3
• 页码：121-124
• 文件大小：472 K

In women with an adnexal mass, ascites and elevated serum markers, ovarian carcinoma must be excluded. However, several other entities, including genital tuberculosis, may produce similar symptoms. A 38-year-old woman with no personal or familial history of interest presented with abdominal pain, ascites, constitutional syndrome, high fever and elevated Ca₁₂₅ and Ca_15.3 levels. Computed tomography revealed severe septated ascites and an adnexal mass. A skin tuberculin test was negative for tuberculosis.

At exploratory laparotomy, miliary spread over abdominal organs was observed, with adhesions and partial pelvic block. Intraoperative biopsy was negative for malignancy but a double adnexectomy was performed and adhesions were released. Postoperative histologic examination revealed typical features of genital tuberculosis.