Abstract

In female patients, pelvic mass, ascites and presence of high levels of CA-125 is presumably considered to be ovarian cancer. However, sometimes peritoneal tuberculosis may be seen with similar signs and can be misdiagnosed as ovarian cancer. The patient, who is 40 years old, had attended our clinic with complaints of abdominal distension, fatigue and weight loss. During investigational studies she was found to have cystic mass in the left ovary. She also had diffuse ascites in abdomen and CA- 125 level was found to be high. Laparoscopy was performed and pathology findings were reported to be granulomatous inflammation suggestin tuberculosis. While the treatments of two situations are quite different, before considering radical

surgery diagnosis should be confirmed by biopsy.