[ Tuberculose ovarienne mimant un cancer ovarien : à propos d’un cas ]
Volume 21, Issue 2, April 2016, Pages 281–284
Abdelkader Akharraz1, Moulay El Mehdi ElHassani2, Farid Kassidi3, Jaouad Kouach4, Driss Moussaoui5, and Mohammed Dehayni6
1 Service de Gynécologie et d’Obstétrique, Hôpital Militaire d’Instruction Mohamed V, Rabat, maroc
2 Department of Gynecology- Military Training Hospital Med V, Rabat, Morocco
3 Department of Gynecology-Obstetric, Military Training Hospital Med V, Rabat, Morocco
4 Faculté de Médecine et de Pharmacie, Université Mohamed V, Rabat, Morocco
5 Department of Gynecology-Obstetric, Military Training Hospital Med V, Faculty of Medicine and Pharmacy, Mohammed V University, Rabat, Morocco
6 Department of Gynecology-Obstetric, Military Training Hospital Med V, Faculty of Medicine and Pharmacy, Mohammed V University, Rabat, Morocco
Original language: French
Copyright © 2016 ISSR Journals. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Pelvic tuberculosis accounts for 6% to 10% of tuberculosis cases. Tubal damage is the most frequent, followed by cervical and endometrial location. Ovarian tuberculosis is less common; presented as a clinical, biological and radiological form highly suggestive of ovarian tumor. Several factors contributed to the increase, mainly including related immunosuppression syndrome of acquired immunodeficiency. We report one case in a 24-year-old woman, single, followed for systemic lupus the initial interpretation of which, based on pleural and peritoneal exudate, showed suspected lateral uterine mass and significant elevated serum CA 125 level, mimicking disseminated ovarian carcinoma. Only after exploring laparotomy with biopsy was ovarian abscess tuberculosis identified, thus correcting the diagnosis. Its symptomatology was left after 2.5 months of antituberculosis multidrug. This is a rare disease whose diagnosis is histological and prognosis is dominated by the sequelae infertility.
Author Keywords: pelvic tuberculosis, Ovarian mass, Mycobacterium tuberculosis, histology, infertility.
Volume 21, Issue 2, April 2016, Pages 281–284
Abdelkader Akharraz1, Moulay El Mehdi ElHassani2, Farid Kassidi3, Jaouad Kouach4, Driss Moussaoui5, and Mohammed Dehayni6
1 Service de Gynécologie et d’Obstétrique, Hôpital Militaire d’Instruction Mohamed V, Rabat, maroc
2 Department of Gynecology- Military Training Hospital Med V, Rabat, Morocco
3 Department of Gynecology-Obstetric, Military Training Hospital Med V, Rabat, Morocco
4 Faculté de Médecine et de Pharmacie, Université Mohamed V, Rabat, Morocco
5 Department of Gynecology-Obstetric, Military Training Hospital Med V, Faculty of Medicine and Pharmacy, Mohammed V University, Rabat, Morocco
6 Department of Gynecology-Obstetric, Military Training Hospital Med V, Faculty of Medicine and Pharmacy, Mohammed V University, Rabat, Morocco
Original language: French
Copyright © 2016 ISSR Journals. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Pelvic tuberculosis accounts for 6% to 10% of tuberculosis cases. Tubal damage is the most frequent, followed by cervical and endometrial location. Ovarian tuberculosis is less common; presented as a clinical, biological and radiological form highly suggestive of ovarian tumor. Several factors contributed to the increase, mainly including related immunosuppression syndrome of acquired immunodeficiency. We report one case in a 24-year-old woman, single, followed for systemic lupus the initial interpretation of which, based on pleural and peritoneal exudate, showed suspected lateral uterine mass and significant elevated serum CA 125 level, mimicking disseminated ovarian carcinoma. Only after exploring laparotomy with biopsy was ovarian abscess tuberculosis identified, thus correcting the diagnosis. Its symptomatology was left after 2.5 months of antituberculosis multidrug. This is a rare disease whose diagnosis is histological and prognosis is dominated by the sequelae infertility.
Author Keywords: pelvic tuberculosis, Ovarian mass, Mycobacterium tuberculosis, histology, infertility.
Abstract: (french)
La localisation pelvienne de la tuberculose représente 6 à 10 % . L’atteinte tubaire est la plus fréquente, suivie par la localisation cervicale et endométriale. La tuberculose ovarienne est moins fréquente ; elle se présente dans un tableau clinique, radiologique et biologique très évocateur de tumeur ovarienne. Plusieurs facteurs ont contribué à sa recrudescence, incluant essentiellement l’immunodépression liée au syndrome de l’immunodéficience acquise. Nous rapportons le cas d’une patiente, âgée de 24 ans, célibataire, suivie pour lupus systémique présentant initialement un tableau de carcinose péritonéale simulant un cancer ovarien avec masse suspecte latéroutérine droite, épanchement pleuro-péritonéal et élévation marquée du CA 125. Le diagnostic d’abcès tuberculeux ovarien n’a été porté rétrospectivement qu’après laparoscopie et examen anatomopathologique. Sa symptomatologie est régressée après 2 mois et demi de quadrithérapie antituberculeuse. Il s’agit d’une pathologie rare dont le diagnostic est histologique et le pronostic est dominé par l’infertilité séquellaire.
Author Keywords: tuberculose pelvienne, masse ovarienne, Mycobacterium tuberculosis, histologie, infertilité.
How to Cite this Article
Abdelkader Akharraz, Moulay El Mehdi ElHassani, Farid Kassidi, Jaouad Kouach, Driss Moussaoui, and Mohammed Dehayni, “Ovarian tuberculosis simulating carcinoma : About a case,” International Journal of Innovation and Scientific Research, vol. 21, no. 2, pp. 281–284, April 2016.
