Evidence map›Paper›PMID 40129786›Full record

ArticleRadiology case reports2025

When peritoneal tuberculosis mimics advanced ovarian cancer: A laparoscopic case from an endemic region.

Hafedh Abbassi, Ekram Guerbej, Badra Bannour, Imen Bannour, Zeineb Nfikha, Sassi Boughizane, Moncef Mokni, Hedi Khairi

Abstract readCase Reports
In one paragraph

Article in Radiology case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Hafedh AbbassiUniversity of Sousse, Faculty of Medicine of Sousse, Department of Gynecology and Obstetrics, Farhat Hached Teaching Hospital, Sousse, Tunisia.
Ekram GuerbejUniversity of Sousse, Faculty of Medicine of Sousse, Department of Gynecology and Obstetrics, Farhat Hached Teaching Hospital, Sousse, Tunisia.
Badra BannourUniversity of Sousse, Faculty of Medicine of Sousse, Department of Gynecology and Obstetrics, Farhat Hached Teaching Hospital, Sousse, Tunisia.
Imen BannourUniversity of Sousse, Faculty of Medicine of Sousse, Department of Gynecology and Obstetrics, Farhat Hached Teaching Hospital, Sousse, Tunisia.
Zeineb NfikhaUniversity of Sousse, Faculty of Medicine of Sousse, Pathology Department, Farhat Hached Teaching Hospital, Sousse, Tunisia.
Sassi BoughizaneUniversity of Sousse, Faculty of Medicine of Sousse, Department of Gynecology and Obstetrics, Farhat Hached Teaching Hospital, Sousse, Tunisia.
Moncef MokniUniversity of Sousse, Faculty of Medicine of Sousse, Pathology Department, Farhat Hached Teaching Hospital, Sousse, Tunisia.
Hedi KhairiUniversity of Sousse, Faculty of Medicine of Sousse, Department of Gynecology and Obstetrics, Farhat Hached Teaching Hospital, Sousse, Tunisia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Peritoneal tuberculosis (PT), a rare form of extrapulmonary tuberculosis, poses diagnostic challenges in endemic regions like Tunisia due to its resemblance to advanced ovarian cancer. We report the case of a 28-year-old woman with no personal or family history of carcinoma or tuberculosis, presenting with generalized abdominal pain, fever, anorexia, weight loss, and abdominal distension. Imaging revealed ascites, a left adnexal mass, peritoneal nodules, and an elevated serum CA-125 level (790 U/mL), raising suspicion for PT, peritoneal carcinomatosis, or advanced ovarian cancer. Laparoscopy confirmed multiple peritoneal nodules and ascitic fluid. Histopathological examination revealed necrotizing granulomatous inflammation, and TB-polymerase chain reaction confirmed the diagnosis despite negative Ziehl-Neelsen staining. The patient responded to antitubercular therapy (ATT) with complete resolution of symptoms and radiological findings. This case underscores the need to consider peritoneal tuberculosis in the differential diagnosis of young women with adnexal masses, ascites, and elevated CA-125 levels in endemic regions. Early histopathological confirmation via minimally invasive laparoscopy can avert unnecessary surgery and enable timely treatment.

Indexed as

AscitesLaparoscopyOvarian cancerTuberculosis

Identifiers

PMID40129786
PMCPMC11930678

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.