Isolated Ovarian Tuberculosis Mimicking Ovarian Malignancy in a Young Female with Primary Infertility: A Case Report.
Mohammad Fahim Sarwary, Mahbobullah Sediqi, Mohammad Hussain Modabber et al.
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Case in brief
A 23-year-old Afghan woman with primary infertility presented with pelvic pain and prolonged low-grade fever. She underwent laparotomy due to suspected ovarian malignancy, revealing bilateral ovarian cysts. Histopathological examination confirmed isolated ovarian tuberculosis. The patient was subsequently treated with anti-tuberculous therapy, highlighting the importance of accurate diagnosis.
What made this case unusual
The case illustrates how isolated ovarian tuberculosis can mimic ovarian malignancy, presenting with elevated CA-125 levels and adnexal masses.
Diagnostic / clinical pearl
Clinicians should consider isolated ovarian tuberculosis in the differential diagnosis of adnexal masses, especially in endemic areas, to avoid misdiagnosis.
Why it matters
This case underscores the importance of histopathological confirmation in differentiating between ovarian tuberculosis and malignancy, which can significantly impact treatment and outcomes.