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Am J Perinatol 2005; 22(7): 383-385
DOI: 10.1055/s-2005-872600
Copyright © 2005 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA.

Peripartum Disseminated Extrapulmonary Tuberculosis Simulating Ovarian Carcinoma

David M. Sherer1 , Joseph A. Osho1 , Harry Zinn2 , Spiro Demetus3 , Jennifer Huang1 , Sarah Temkin1 , Ovadia Abulafia1
  • 1Department of Obstetrics and Gynecology, State University of New York (SUNY), Downstate Medical Center, Brooklyn, New York
  • 2Department of Radiology, State University of New York (SUNY), Downstate Medical Center, Brooklyn, New York
  • 3Department of Pulmonary and Critical Care, State University of New York (SUNY), Downstate Medical Center, Brooklyn, New York
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Publikationsdatum:
17. September 2005 (online)

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ABSTRACT

Disseminated extrapulmonary tuberculosis is an uncommon complication of pregnancy. We present a 26-year-old multiparous immigrant from Haiti who was admitted following an extramural preterm delivery. Marked ascites was confirmed by computerized tomography, which also revealed a thickened greater omentum. These findings were considered suggestive of advanced ovarian carcinoma, although extrapulmonary tuberculosis was also considered despite negative tuberculin skin test screening. Image-guided omental biopsy demonstrated caseating granulomas substantiating the diagnosis of abdominal tuberculosis, which was later confirmed by cultures. The patient responded well to antituberculosis medications. This case describes the unusual peripartum presentation of abdominal tuberculosis simulating advanced ovarian carcinoma, and demonstrates the importance of considering extrapulmonary tuberculosis when encountering ascites and omental thickening during pregnancy despite negative tuberculin skin test screening.

KEYWORDS

Pregnancy - tuberculosis - ascites - preterm delivery - adult respiratory distress syndrome

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David M ShererM.D. 

Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology

State University of New York (SUNY), Downstate Medical Center

445 Lenox Road, Box 24

Brooklyn, NY 11203-2098

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