Harouachi Abdelhakim, Jabri Lamyae, Bouhout Tariq, Serji Badr
Surgical Oncology Department, Regional Oncology Center, Mohammed VI University Hospital, Oujda, Morocco; Mohammed First University Oujda, Faculty of Medicine and Pharmacy Oujda, Oujda, Morocco.
Mohammed First University Oujda, Faculty of Medicine and Pharmacy Oujda, Oujda, Morocco.
Int J Surg Case Rep. 2024 Sep;122:110031. doi: 10.1016/j.ijscr.2024.110031. Epub 2024 Jul 11.
Ovarian tuberculosis is a rare form of extra-pulmonary tuberculosis that usually present with atypical symptoms mimicking ovarian carcinoma.
We report a case of non-vaccinated 20-years-old women who present with non-specific symptoms and for whom imaging techniques weren't conclusive for ovarian tuberculosis. The ultrasound shows hydronephrosis secondary to the compressive pelvic mass. Regarding the compressive character of the mass and it's consequence on the urinary system as well as the suspicion of malignant origin, laparotomy was performed. Based on histopathological analysis of surgical biopsies a diagnosis of ovarian tuberculosis was made and the patient was put under anti-TB drugs. During the follow up there was a good response to treatment with improvement of health state, regression of the abdominopelvic mass as well as the hydronephrosis.
Ovarian tuberculosis can occur even in the absence of previous pulmonary TB. The major risk with female genital tuberculosis is infertility.
Ovarian tuberculosis is a rare form of extra pulmonary TB that should be always considered in differential diagnosis of ovarian TB.
卵巢结核是肺外结核的一种罕见形式，通常表现为类似卵巢癌的非典型症状。
我们报告一例20岁未接种疫苗的女性病例，该患者出现非特异性症状，影像学检查对卵巢结核诊断不明确。超声显示盆腔肿块压迫导致肾积水。鉴于肿块的压迫性质及其对泌尿系统的影响以及对恶性起源的怀疑，进行了剖腹手术。基于手术活检的组织病理学分析，诊断为卵巢结核，并对患者进行抗结核药物治疗。在随访期间，治疗反应良好，健康状况改善，腹盆腔肿块及肾积水消退。
即使既往无肺结核，也可能发生卵巢结核。女性生殖器结核的主要风险是不孕。
卵巢结核是肺外结核的一种罕见形式，在卵巢疾病的鉴别诊断中应始终予以考虑。
