We present a case study of a 43 year-old female immigrant from Turkey with abdominal pain, ascites and elevated cancer antigen 125. The symptoms were similar to those of ovarian cancer, and imaging (computed tomography (CT), positron emission tomography/computed tomography and magnetic resonance imaging) supported this suspicion. Peritoneal biopsy from laparoscopy showed granulomas with central necrosis. Microscopy, culture and polymerase chain reaction from biopsy samples were negative for Mycobacterium tuberculosis. Follow-up with a CT scan after six months of full tuberculosis treatment showed normal conditions. Peritoneal tuberculosis is a diagnostic challenge, but should be considered in case of immigrants from high-risk areas.
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Article Synopsis
- Peritoneal tuberculosis is a rare form of TB that occurs outside the lungs, primarily affecting individuals in countries with high TB prevalence, making travel from these areas a risk factor.
- Diagnosing this condition is challenging due to overlapping symptoms with other illnesses, which can delay treatment and worsen outcomes.
- A case study highlights a woman in her mid-50s who experienced severe symptoms, leading to various diagnostic procedures, with TB ultimately isolated from her fluid, allowing her to successfully complete a 6-month anti-TB treatment.
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