Pelvic Peritoneal Tuberculosis Mimicking Stage Iv Ovarian Cancer: Case Report

Tuberculosis (tb) is the most common infectious cause of human death. after the lung, genitourinarytract is the most common site for tb infection. pelvic tuberculosis should be considered in youngwomen presented with pelvic mass, ascites, fever, an elevated ca125 level, negative cytology, andpositive history of contact with affected person. a 24- year- old girl presented as stage iv ovarian cancerdue to pelvic mass, ascites, bilateral multiple lung nodules is described. further evaluation revealedinflammatory lesion of the left sacroiliac joint. serum ca 125 was normal. pcr on tissue specimen fromsacroiliac joint showed mycobacterium tuberculosis. within two months after anti tb therapy pelvicmass, ascites and lung nodules resolved completely without any surgical intervention.this is the firstcase of active pelvic tuberculosis with normal ca125 that has been reported up to now.