PDF(Pubmed)
Abstract：
Peritoneal tuberculosis (TB) is one of the types of extrapulmonary TB that predominantly involves the omentum, liver, intestinal tract, spleen, or female genital tract. It can occasionally result in gynecological-related oncology diagnoses such as advanced ovarian cancer due to its non-specific signs and symptoms, making it very difficult to detect. This report presents a case of a 22-year-old female who presented with the chief complaints of pain and distension of the abdomen for one month with dysuria. Ultrasonography and magnetic resonance imaging was performed that reported a large uni-loculated cystic pelvic abdominal lesion likely to be of ovarian origin and suggestive of neoplastic etiology with bilateral hydroureteronephrosis. To confirm the diagnosis, an exploratory laparotomy was performed which revealed extrapulmonary abdominal TB, and was registered for Directly Observed Treatment Shortcourse (DOTS) following which anti-tubercular drugs were given. In conclusion, this case report highlighted the masquerading behavior of encysted peritoneal TB as an ovarian tumor, and the fact that it should, therefore, should be considered in the differential diagnosis in regions where TB remains endemic, such as in developing countries. Hence, an appropriate diagnosis can prevent the need for unnecessary surgical operations and adequate therapy can save the patient\'s life.
摘要：
腹膜结核（TB）是主要累及网膜的肺外结核类型之一，肝脏,肠道,脾,脾或女性生殖道。它有时会导致妇科相关的肿瘤学诊断，如晚期卵巢癌，由于其非特异性体征和症状，使得它很难被发现。本报告介绍了一例22岁的女性，该女性因排尿困难而出现了一个月的腹部疼痛和扩张的主要抱怨。进行了超声检查和磁共振成像，报告了一个大的单部位囊性盆腔腹部病变，可能是卵巢起源的，并考虑了双侧肾积水的肿瘤病因。为了确认诊断，进行了剖腹探查术，发现肺外腹部结核，并注册为直接观察治疗短程（DOTS），随后给予抗结核药物。总之,该病例报告强调了包膜腹膜结核作为卵巢肿瘤的伪装行为，以及它应该的事实，因此,在结核病仍然流行的地区的鉴别诊断中应该考虑，例如在发展中国家。因此，适当的诊断可以避免不必要的外科手术，适当的治疗可以挽救病人的生命。
