Peritoneal Tuberculosis (? Carcinomatosis)

Malani, Ashok K.; Jayant Rao
April 2006
Mayo Clinic Proceedings;Apr2006, Vol. 81 Issue 4, p443
Academic Journal
The article presents a case of a patient presented with increasing abdominal distension and exudative ascites. The patient has a baseline serum CA 125 level of 592.1 U/mL. Vaginal ultrasonography demonstrated a 2- by 1-cm cyst in the left ovary. A thickening of the stomach wall and peritoneal and omental implants were seen after performing computed tomography of the abdomen. Diagnostic laparoscopic investigation showed an inflamed omentum that was attached to the gastric antrum and peritoneal wall down to the pelvis and soft uniform miliary lesions. The patient was treated with antituberculosis drug and follow-up serum CA 125 levels were normalized.


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