Akhan S E, Bastu E, Gungor-Ugurlucan F, Iyibozkurt A C, Topuz S
Clin Exp Obstet Gynecol. 2014;41(2):132-4.
Peritoneal tuberculosis (TB) is uncommon in developed countries, although there is an increase in incidence due to the patients with acquired immunodeficiency syndrome and in immigrants from countries with tuberculosis. The aim of the study was to identify characteristic features of peritoneal tuberculosis (TB), which may be useful for the clinical differential diagnosis and management of this deceiving disease.
For this retrospective study, 18 patients, who were diagnosed with peritoneal TB were identified after surgery.
Initial presentation consisted of ascites, pelvic masses, and elevated levels of CA-125. All patients were initially misdiagnosed as ovarian carcinoma. Tissue biopsies obtained from laparoscopy or laparotomy revealed accurate diagnosis of peritoneal TB.
Peritoneal TB should be included in the differential diagnosis ofascites and pelvic masses and can be accurately diagnosed by laparoscopic biopsy.
尽管由于获得性免疫缺陷综合征患者以及来自结核病高发国家的移民，腹膜结核（TB）的发病率有所上升，但在发达国家仍不常见。本研究的目的是确定腹膜结核的特征，这可能有助于对这种具有欺骗性的疾病进行临床鉴别诊断和管理。
在这项回顾性研究中，18例经手术确诊为腹膜结核的患者被纳入。
最初的表现包括腹水、盆腔肿块和CA-125水平升高。所有患者最初均被误诊为卵巢癌。通过腹腔镜检查或剖腹手术获取的组织活检确诊为腹膜结核。
腹膜结核应纳入腹水和盆腔肿块的鉴别诊断，可通过腹腔镜活检准确诊断。
