ArticleJournal of obstetrics and gynaecology of India2020
Abdominal Tuberculosis Mimicking Ovarian Cancer: A Diagnostic Dilemma.
Article in Journal of obstetrics and gynaecology of India, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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5 citing papers in PubMed, 8 citations in OpenAlex.
- Unmasking the Masquerade: Navigating the Diagnostic Enigma of Abdominal TB Mimicking Endometriosis.Journal of obstetrics and gynaecology of India · 2025Article
- A Case Report of Pediatric Abdominal Tuberculosis with Intestinal Perforation Misdiagnosed as Malignancy.Infection and drug resistance · 2025Article
- Subtle Sonographic Signs of Disseminated Tuberculosis: A Case Report and Narrative Literature Review.The American journal of tropical medicine and hygiene · 2024Review
- Article
- A Case of Peritoneal Tuberculosis Mimicking Ovarian Cancer in a Young Female.Case reports in obstetrics and gynecology · 2022Article
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Authors and funding
8 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimsThe objective of this study was to describe the clinicopathological details in patients referred to the Gynaecologic Oncology Department with possible ovarian or primary peritoneal cancer where the final diagnosis turned out to be abdominal tuberculosis. METHODOLOGY: Retrospective chart analysis of 23 cases diagnosed with abdominal tuberculosis who were admitted under the Division of Gynaecologic Oncology suspected to have disseminated peritoneal malignancy, during 2014-2017.
resultsThere were 23 patients who were referred to the Gynaecologic Oncology outpatient for evaluation of ascites, to rule out malignancy. The mean age of this patient group was 35 years (SD 14.5, range 14-65). The mean CA 125 was 333.5 [400.7 (9.09-1568)]. Ascitic fluid analysis confirmed TB in 26%; omental biopsy revealed TB in 69%, and operative diagnostic procedures (laparoscopy and laparotomy) were done in 15 of the 23 patients which had a positive pick up rate of 100% to confirm the diagnosis of TB. Culture of ascitic fluid/omental tissue and PCR yields were poor with a pick up rate of 33% and 6%.
conclusionsAbdominal TB is common in India and can mimic ovarian malignancy, and hence, high degree of suspicion needed. The isolation of AFB is the gold standard for diagnosis of pulmonary tuberculosis but has a low yield in abdominal TB. Ultrasound-guided procedure is reasonable as an initial procedure. As much time can be lost in working up these patients through multiple diagnostic algorithms using ascitic tap, USG biopsy and then an operative procedure, diagnostic laparoscopy could be considered early in the work up. It is a simple, time-saving and cost-effective way of establishing a diagnosis sooner with least complications.
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