Tuberculose pelvienne simulant une tumeur ovarienne bilatérale

Nebhani, M.; Boumzgou, K; Brams, S.; Laghzaoui, M; Attar, H. El; Bouhya, S.; Aderdour, M; Iraqi, M.

doi:10.1016/s0368-2315(04)96414-9

Cited by 15 publications

(16 citation statements)

References 8 publications

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“…In previous case series, 11.8% (9/76) of patients with tuberculous peritonitis showed a serum CA-125 level above 1000 U/mL 13,17,19,20,22,29-39. In the present study, in an unselected group of tuberculous peritonitis patients, 8.4% (4/48) showed a serum CA-125 level above 1000 U/mL.…”

Section: Discussionsupporting

confidence: 56%

“…As tuberculous peritonitis presents with ascites, abdominal pain, abdominal mass and high serum CA-125, it can be confused with ovarian cancers 13,14. In the literature, several cases of tuberculous peritonitis mimicking ovarian cancer have been reported 15-20. Two case control studies have shown that elevated serum CA-125 in patients with tuberculous peritonitis is normalized after anti-mycobacterium medication 21,22.…”

Section: Introductionmentioning

confidence: 99%

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Clinical Significance of Serum CA-125 in Korean Females with Ascites

et al. 2013

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PurposeMycobacterium tuberculosis is endemic in Korea. Because tuberculous peritonitis is characterized by ascites, abdominal pain, abdominal mass and elevation of serum CA-125, it can be confused with ovarian malignancies. The aim of this study was to evaluate the significance of serum CA-125 level in the differential diagnosis of tuberculous peritonitis and ovarian malignancy in a Mycobacterium tuberculosis-endemic area.Materials and MethodsThe medical records of patients diagnosed with tuberculous peritonitis (n=48) or epithelial ovarian malignancy (n=370) at Samsung Medical Center from January 2000 to October 2009 were retrospectively reviewed.ResultsMedian serum CA-125 level in the epithelial ovarian cancer group was significantly higher than that in the tuberculous peritonitis group (p≤0.01). Only one patient (2.1%) in the tuberculous peritonitis group had a serum CA-125 level over 2000 U/mL. However, 109 patients (29.5%) in the epithelial ovarian cancer group had a serum CA-125 level over 2000 U/mL. At the CA-125 ranges of 400 to 599 and 600 to 799, the proportions of those with tuberculous peritonitis were 24% and 21.9%, respectively. At a serum CA-125 level over 1000 U/mL, however, the proportion of tuberculous peritonitis was much lower (2.1%).ConclusionTuberculous peritonitis should be considered in the evaluation of female patients with ascites and high serum CA-125.

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Section: Discussionsupporting

confidence: 56%

Section: Introductionmentioning

confidence: 99%

Clinical Significance of Serum CA-125 in Korean Females with Ascites

et al. 2013

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“…L′étude histologique de la biopsie ou de la pièce opératoire montrant une lésion granulomateuse gigantocellulaire avec une nécrose caséeuse spécifique du bacille de Koch pose le diagnostic da la tuberculose. L′étude bactériologique du liquide d′ascite est rarement positive [12].…”

Section: Discussion:-unclassified

Tuberculose Pelvi-Peritoneale Imitant Une Tumeur Maligne De Lovaire: A Propos Dun Cas

Benlbrikia¹,

Boukhriss²,

Drissi³

et al. 2020

IJAR

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“…Peritoneal tuberculosis can simulate advanced ovarian cancer (11). Clinically, pelvic pain, ascites and weight loss can predict these two pathologies (12). CA-125 can also be elevated in peritoneal tuberculosis (13).…”

Section: Discussionmentioning

confidence: 99%

Interest of First Laparoscopy in the Etiological Diagnosis of Isolated Exudative Ascites

Amor¹,

Mansour²,

Chaabane³

et al. 2019

J Clin Invest Surg.

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The purpose of this research article was to determine the contribution of performing laparoscopy first in the etiological diagnosis of isolated exudative ascites. Our retrospective descriptive study had been performed over 15 years and included 46 patients who had undergone exploratory laparoscopy for exudative ascites. The average age of the patients was 52 years. Biological and morphological examinations contributed to making the etiological diagnosis. Therefore, diagnostic laparoscopy was indicated. Peritoneal carcinomatosis and tuberculosis were the most common causes seen in 34.2% and respectively 65.8% of cases. Visual laparoscopic diagnosis was peritoneal carcinomatosis in 16 cases and peritoneal tuberculosis in 28 cases, indecisive in one case and biliary ascites in one case. The histological diagnosis was peritoneal tuberculosis in 24 cases and peritoneal carcinomatosis in 12 cases and there were 9 cases of rare diagnoses. Peritoneal biopsies were negative in 2 cases for which the etiological diagnoses were kidney failure in one case and hypothyroidism in the other case. The postoperative recovery was simple in 42 cases (91.3%). The complications were: an accidental rupture of the left diaphragmatic dome in one case (2.1%), gastrointestinal bleeding in the immediate postoperative period in two cases (4.2%) and infected ascites in one case (2.1%). The post-operative scapular pain was reported in 4.2% of our patients. Operative mortality in our patients was nil. The overall care had an average cost of 1685.7 dinars for each of our patients, with extremes ranging from 1055.7 to 3605.7 dinars. For patients with isolated exudative ascites that should have been explored through laparoscopy first, the average cost would be 130.1 dinars, with a material gain for each of 1555.6 dinars. This attitude could also allow a reduction in the mean hospital stay (which was 27 days to few days) associated with early treatment. Our study confirms the interest in laparoscopy first with peritoneal biopsies as part of the etiological diagnosis of isolated exudative ascites.

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Tuberculose pelvienne simulant une tumeur ovarienne bilatérale

Cited by 15 publications

References 8 publications

Clinical Significance of Serum CA-125 in Korean Females with Ascites

Clinical Significance of Serum CA-125 in Korean Females with Ascites

Tuberculose Pelvi-Peritoneale Imitant Une Tumeur Maligne De Lovaire: A Propos Dun Cas

Interest of First Laparoscopy in the Etiological Diagnosis of Isolated Exudative Ascites

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