ISOLATED OVARIAN TUBERCULOSIS MIMICKING OVARIAN CARCINOMA: CASE REPORT AND LITERATURE REVIEW

Authors

  • Solohery Solofomandimby Edison Nirina Rabesalama Centre Hospitalier Universitaire Joseph Ravoahangy Andrianavalona (CHU-JRA)
  • Kate Louise Mandeville University College London
  • Romain Aristide Raherison Centre Hospitalier Universitaire Joseph Ravoahangy Andrianavalona (CHU-JRA)
  • Hery Nirina Rakoto-Ratsimba Centre Hospitalier Universitaire Joseph Ravoahangy Andrianavalona (CHU-JRA)

Keywords:

Genitourinary tuberculosis, Ovarian tuberculosis, Ovarian carcinoma

Abstract

Although genitourinary tuberculosis is common, reports of isolated ovarian tuberculosis are rare. However, its presentation can mimick that of an ovarian tumour, leading to diagnostic difficulties. A woman of 17 years presented with chronic pelvic pain, weight loss, a right ovarian mass on ultrasound, and a significantly elevated CA-125 level. A diagnosis of ovarian carcinoma was made, and laparotomy was performed with resection of the right ovary. Postoperative histological examination, however, revealed classic tuberculoid appearances, with no signs of malignancy. Antituberculosis treatment was commenced, with full resolution of her symptoms and a decrease in CA-125 level. Isolated ovarian tuberculosis is most common in young women living in endemic zones. CA-125 can be raised in both conditions, and imaging is rarely conclusive. Intraoperative frozen section of tissue specimens can be helpful if available. Early diagnosis of ovarian tuberculosis is vital as untreated disease can lead to infertility.

Author Biographies

Solohery Solofomandimby Edison Nirina Rabesalama, Centre Hospitalier Universitaire Joseph Ravoahangy Andrianavalona (CHU-JRA)

Service de Chirurgie Viscérale

Kate Louise Mandeville, University College London

Academic Clinical Fellow in Public Health Centre for Infectious Disease Epidemiology University College London

Romain Aristide Raherison, Centre Hospitalier Universitaire Joseph Ravoahangy Andrianavalona (CHU-JRA)

Service de Chirurgie Viscérale

Hery Nirina Rakoto-Ratsimba, Centre Hospitalier Universitaire Joseph Ravoahangy Andrianavalona (CHU-JRA)

Chef de Service, Service d’Urologie

Downloads

Published

2010-11-16

How to Cite

Rabesalama, S. S. E. N., Mandeville, K. L., Raherison, R. A., & Rakoto-Ratsimba, H. N. (2010). ISOLATED OVARIAN TUBERCULOSIS MIMICKING OVARIAN CARCINOMA: CASE REPORT AND LITERATURE REVIEW. African Journal of Infectious Diseases (AJID), 5(1), 7–10. Retrieved from https://journals.athmsi.org/index.php/AJID/article/view/1011

Issue

Vol. 5 No. 1 (2011)

Section

Case Report

License

Copyright: Creative Commons Attribution CC BY This license lets others distribute, remix, tweak, and build upon your work, even commercially, as long as they credit you for the original creation. This is the most accommodating of licenses offered. Recommended for maximum dissemination and use of licensed materials. View License Deed | View Legal Code Authors can also self-archive their manuscripts immediately and enable public access from their institution's repository. This is the version that has been accepted for publication and which typically includes author-incorporated changes suggested during submission, peer review and in editor-author communications.