Diagnosis challenges of a patient with peritoneal tuberculosis masquerading as ovarian malignancy: a case report

Background: Peritoneal tuberculosis (PTB) could mimic advanced ovarian cancer cases, making its diagnosis challenging. Comprehensive and conscientious examinations for are needed to differentiate such cases avoid inappropriate treatment. We report a problematic of PTB that malignancy. Case Presentation: A 20-year-old female patient with history multiple rehospitalizations, presented complaints abdominal pain, nausea/vomiting, low-grade fever, weight loss in the last five months. In first admission, was suspected malignant cyst due clinical features malignancy normal chest X-ray, USG suggested both ovaries, high levels Ca125. However CT-scan showed thickening peritoneum which PTB. The planned urgent laparotomy while waiting GenExpert result. On second recurrent sputum stool negative result, surgery but refused. diagnosed impending bowel obstruction underwent contrast diffuse multiloculated cystic lesion cavum pelvic prominent mesenteric lymph nodes TB abscess pelvic. Exploratory revealed conglomeration, pus tubercles peritoneum. confirmed based on pathology microbiology examination from tissue biopsy pus. Conclusion: reported patients unspecific symptoms as This study highlights challenges diagnosing therefore be considered differential endemic countries.