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Abdominal tuberculosis masquerading as ovarian carcinoma in a Caucasian woman: a diagnostic challenge
  1. Ananya Das1,
  2. Paul Mead2 and
  3. Hilal Razvi Mala3
  1. 1Medicine, West Cumberland Hospital, Whitehaven, Cumbria, UK
  2. 2Nephrology, West Cumberland Hospital, Whitehaven, Cumbria, UK
  3. 3General Medicine, West Cumberland Hospital, Whitehaven, Cumbria, UK
  1. Correspondence to Dr Paul Mead; paul.mead{at}


We present a case of a 37-year-old Caucasian woman with abdominal distension and loss of weight. She was initially presumed to be a case of ovarian malignancy due to an elevated serum cancer antigen 125 (CA 125) level and imaging of abdomen and pelvis that showed ascites and bulky ovaries. However, histological examination of biopsy later revealed it to be a case of abdominal tuberculosis (AbT). Ascitic fluid was also found to be positive for Mycobacterium tuberculosis by whole genome sequencing. The patient was started on antituberculosis treatment following which she showed a significant improvement in her symptoms.

  • gastrointestinal system
  • infections
  • obstetrics
  • gynaecology and fertility

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  • Contributors AD: Contributed to the collection of data and analysis along with the interpretation and drafting of the article. PM: Drafted the work and provided critical revision of the important intellectual content of the article. HRM: Provided the final approval of the text to be published.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.