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Case Reports
. 2012 Sep 21:2012:bcr2012006382.
doi: 10.1136/bcr-2012-006382.

A patient with tuberculous peritonitis with very high serum CA 125

Bong Soo Seo  1 , In Kyeom Hwang, Ji Eun Ra, Yong Sung Kim
Affiliations
Case Reports

A patient with tuberculous peritonitis with very high serum CA 125

Bong Soo Seo et al. BMJ Case Rep. .

Abstract

An 88-year-old woman presented with abdominal pain and distension. Serum cancer antigen 125 (CA 125) level was very high; however, abdominal CT reveals ascites without definite mass. Ascites analysis revealed a lymphocytic exudate with high adenosine deaminase enzyme level, negative stains for bacteria and negative PCR for Mycobacterium tuberculosis. Presumptive diagnosis for tuberculous peritonitis was made and antituberculous therapy resulted in the resolution of ascites and normalisation of CA 125.

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Figures

Figure 1
Figure 1
Abdominopelvic CT findings. (A,B) Considerable amount of ascites was noted in the abdominal cavity. (C,D) After 2 months of antituberculous therapy, follow-up CT showed a greatly reduced ascites compared to initial CT.
See this image and copyright information in PMC

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