Journals / GORM:Gynecology Obstetrics & Reproductive Medicine / 2005 / Cilt: 11 - Sayı: 3

Peritoneal tuberculosis with elevated Ca 125 levels, a diagnostic challenge and value of laparoscopy and ada level in the differential diagnosis

Pages
215–217
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Quadraple antituberculous chemotherapy was began and Ca 125 levels dropped from 437 U/ml to 14 U/ml after two months of the therapy.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:In this report, a peritoneal tuberculosis with ascites and elevated Ca 125 levels is evaluted.
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Key Findings & Data:Studies for differential diagnosis before the operation included measurement of Ca 125 levels , ADA (Adenosine Deaminase) and microbiological and cytologic examination of the ascitic fluid, ultrasonography and computerized tomography of the abdomen, and laparascopy with biopsy.
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Conclusion & Impact:Quadraple antituberculous chemotherapy was began and Ca 125 levels dropped from 437 U/ml to 14 U/ml after two months of the therapy.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Erişkin · Adenozin deaminaz · Biyopsi

Abstract

In this report, a peritoneal tuberculosis with ascites and elevated Ca 125 levels is evaluted. The patient was initially thought to have an ovarian cancer. Studies for differential diagnosis before the operation included measurement of Ca 125 levels , ADA (Adenosine Deaminase) and microbiological and cytologic examination of the ascitic fluid, ultrasonography and computerized tomography of the abdomen, and laparascopy with biopsy. The characteristic appearance of peritoneum and abdominal organs, histologic diagnosis of biopsies, serum Ca 125, ADA levels of ascidic fluid results were highly suggestive for tuberculous peritonitis. Quadraple antituberculous chemotherapy was began and Ca 125 levels dropped from 437 U/ml to 14 U/ml after two months of the therapy.

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Cite This Article

GÜNENÇ, M. Z., BİNGÖL, B., TABAK, S., AYDINURAZ, B. (2005). Peritoneal tuberculosis with elevated Ca 125 levels, a diagnostic challenge and value of laparoscopy and ada level in the differential diagnosis. GORM:Gynecology Obstetrics & Reproductive Medicine, Cilt: 11 - Sayı: 3, 215–217. https://ajindex.com/articles/227124

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References (13)

  1. Raviglione MC, Saiden DE, Kochi A. Global epidemiology of tuberculosis; morbidity and mortality of a world epidemic JAMA 1995; 273:220-6
  2. Yoshimura T, Okamura H. Peritoneal tuberculosis with elevated serum Ca 125 levels; A case report Gynecologic Oncology 1987; 28:342-4
  3. Nislal de Paz F, Fernandez HB, Simon PR, Perez FE et al. Pelvic peritoneal tuberculosis simulating ovarian carcinoma; Report of three cases with elevation of the Ca 125. American Journal of Gastroenterology 1996; 91:1660-1
  4. Simsek H, Savas CM, Kadayifci A, Tatar G. Elevated Serum Ca 125 concentration in patients with tuberculous peritonitis, A case control study. The American Journal of Gastroenterology 1997; 92:1174-6
  5. Marshall JB. Tuberculosis of gastroinestinal tract and peritoneum The American Journal of Gastroenterelogy 1993; 88:989-99
  6. Hillen N, Lioubashevsky N. Tuberculous peritonitis; a diagnostic challenge. Abdom. Imaging 2001; 26:319-22
  7. Mahdavi A, Malviya VK, Hershman BR. Peritoneal tuberculosis disguised as ovarian cancer. Gynecologic Oncology 2002; 84:167-70
  8. Panoskaltsis AT, Moore DA, Haidopoulos DA et al.; Tuberculous peritonitis; part of the differential diagnosis in ovarian cancer American Journal of Obstetrics and Gynecology 2000; 182:740-2
  9. O'Riordian DK, Deery A, Dorman A et al. Increased Ca 125 in a patient with tuberculous peritonitis; case report and review of published works. Gastroenterology 1995; 36:303-5
  10. Voigt MD, Kalvaria I, Trey C et al. Diagnostic value of ascites adenosine de aminase in tuberculous peritonitis Lancet 1989:751-4
  11. Burgess LJ, Swanepoel GC, Taljaard JJF. The use of adenosine deaminase as a diagnostic tool for peritoneal tuberculosis Tuberculosis 2001; 81:243-8. 12.Bhargava DK, Shriniwas Chopra P et al. Peritoneal tuberculosis: Laparoscopic patterns and its diagnostic accuracy Am J Gastroenterology 1992; 87:109-11
  12. Shafer M, Lauper M, Krahenbühl L. Trocar and Verre's needle injuries during laparoscopy Surgical Endoscopy 2001; 15:275-80
  13. Penna L, Manyonda I, Amias A. Intraabdominal miliary tuberculosis presenting as disseminated ovarian carcinoma with ascites and raised Ca 125. Br. J. Obstet Gynecol 1993; 100:1051-3.