ISOLATED OVARIAN TUBERCULOSIS - A CASE REPORT AND REVIEW OF LITERATURE

Dr. Doyel Halder; Dr. Nidhi P.A. Barla; Dr. Suman Sinha; Dr. Kamlesh Prasad Sinha

Volume : VII, Issue : IX, September - 2018

ISOLATED OVARIAN TUBERCULOSIS - A CASE REPORT AND REVIEW OF LITERATURE

Dr. Doyel Halder, Dr. Nidhi P. A. Barla, Dr. Suman Sinha, Dr. Kamlesh Prasad Sinha

Abstract :

Genitourinary tuberculosis in a developing country like India is quite common, but reports of isolated ovarian tuberculosis are rare. It is often misdiagnosed because they mimic ovarian carcinoma. We are reporting a case of 30 year old lady presenting with chronic pelvic pain, abdominal distention and significant weight loss. Ultrasound revealed left ovarian mass associated with ascites and elevated CA–125 level. A presumptive diagnosis of ovarian carcinoma was made and laparotomy was performed with resection of left ovary. Post–operative histological examination, however, revealed evidence of tuberculosis and no signs of malignancy was seen. Thereafter Antituberculosis treatment was started with complete resolution of symptoms and decrease in CA–125 level. Isolated ovarian tuberculosis are common in younger women of endemic zones. CA–125 level estimation is inconclusive, as it is non specific and raised in many conditions. Imaging studies are also rarely conclusive. Definitive diagnosis can only be made by histopathological examination. Early diagnosis of ovarian tuberculosis is vital as untreated disease can lead with infertility. In this respect, intra–operative frozen section of tissue specimen, if available are readily helpful.