A Very High Ca-125 Level Is Not Always Malignant: A Case-Based Experience From Tuberculosis Patient

CA-125 is a serum marker that raised in various malignant and non- conditions, but very high rise (>1000 U/mL) almost always suggests ovarian malignancy. Here we report rare case of tuberculous peritonitis 58-year-old woman who presented with gradually progressive abdominal distension weight loss, her level was >1000 U/mL. Initially suspecting this as malignancy, ascitic fluid study to detect cells contrast CT scan the abdomen done, results didn’t suggest any Finally, diagnostic laparoscopy done diagnosed by peritoneal biopsy histopathology. This an excellent example showcasing importance tissue diagnosis over indirect supportive tests, it also clinical suspicion tuberculosis endemic zone should be there even if patient has level. Bangladesh J Medicine 2022; 33: 49-51