Tuberculous peritonitis mimicking peritonitis carcinomatosis: A case report
Journal
European Journal of Pediatrics
Journal Volume
162
Journal Issue
12
Pages
853-855
Date Issued
2003
Author(s)
Abstract
A 13-year-old girl presented with non-specific symptoms of peritonitis, low grade fever and missed her normal menses. Computed tomography of her abdomen and pelvic cavity showed omental cake and a generalised thickened peritoneum. An elevated serum cancer antigen-125 (CA-125) level of 1248.5 U/ml was also noted and a diagnosis of peritonitis carcinomatosis was first suspected. Diagnostic laparoscopy revealed multiple tubercles over the whole peritoneum and the pathology report described granulomatous nodules with giant cells and epithelioid cells. Culture of the ascitic fluid revealed Mycobacterium tuberculosis which resulted in a final diagnosis of tuberculous peritonitis. The patient's fever and abdominal distension gradually subsided after antituberculosis treatment. The serum CA-125 level also decreased significantly to 10.2 U/ml after treatment. Conclusion: Cancer antigen-125 levels may serve as a potential follow-up marker of disease activity and treatment response in tuberculous peritonitis.
SDGs
Other Subjects
CA 125 antigen; isoniazid; pyrazinamide; rifampicin; tuberculostatic agent; abdominal distension; adolescent; article; ascites fluid; bacterium culture; carcinomatous peritonitis; case report; computer assisted tomography; differential diagnosis; disease activity; disease marker; epithelioid cell; female; fever; giant cell; granulomatosis; human; laparoscopy; Mycobacterium tuberculosis; omentum; priority journal; symptomatology; treatment outcome; tuberculous peritonitis; Adolescent; CA-125 Antigen; Diagnosis, Differential; Female; Humans; Peritoneal Neoplasms; Peritonitis, Tuberculous
Type
journal article