Lataifeh I, Matalka I, Hayajneh W, Obeidat B, Al Zou'bi H, Abdeen G
Department of Obstetrics and Gynecology, Jordan University of Science and Technology , Irbid , Jordan.
J Obstet Gynaecol. 2014 Apr;34(3):268-71. doi: 10.3109/01443615.2013.870140. Epub 2014 Jan 29.
The objective was to evaluate the clinical and radiological features of peritoneal tuberculosis (PTB) that resembled advanced ovarian malignancy. A retrospective review of all patients diagnosed with PTB over a period of 10 years was made. The data included: age, presenting symptom(s), CA125 level, microbiological, histological and cytological studies of the surgical specimens. The radiological and operative findings were also reviewed. A total of 16 patients were identified. The median age was 29.5 years (range 13-65 years). The median CA125 level was 319 U/ml (range 45-1,072 U/ml). The most common symptoms were abdominal distention and pain in 13 patients. Imaging studies showed ascites in all patients. Six patients had laparotomy and 10 had laparoscopy procedure. All patients received anti-tuberculosis treatment and had complete cure. A high index of suspicion of PTB is important to avoid unnecessary extended surgery in relatively young patients with nonspecific clinical features.
目的是评估类似晚期卵巢恶性肿瘤的腹膜结核（PTB）的临床和影像学特征。对10年间所有诊断为PTB的患者进行回顾性研究。数据包括：年龄、症状、CA125水平、手术标本的微生物学、组织学和细胞学研究。还回顾了影像学和手术结果。共确定16例患者。中位年龄为29.5岁（范围13 - 65岁）。CA125水平中位数为319 U/ml（范围45 - 1072 U/ml）。13例患者最常见的症状是腹胀和腹痛。影像学检查显示所有患者均有腹水。6例患者接受剖腹手术，10例接受腹腔镜手术。所有患者均接受抗结核治疗并完全治愈。对于具有非特异性临床特征的相对年轻患者，高度怀疑PTB对于避免不必要的扩大手术很重要。
