Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Tuberculous peritonitis mimicking peritonitis carcinomatosis: a case report.

Jia-Feng Wu1, Hwa-Jung Li, Ping-Ing Lee

  • 1Department of Paediatrics, National Taiwan University Hospital, No. 7 Chung-Shan S. Road, Taipei, Taiwan.

European Journal of Pediatrics
|October 10, 2003
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Peripartum ALT Flares Predict Earlier Postpartum HBeAg Clearance in Highly Viremic HBV-Infected Women: A Long-term Follow-up Study.

JHEP reports : innovation in hepatology·2026
Same author

Application of High-Resolution Impedance Manometry for Evaluation of Gastroesophageal Reflux Disease in Patients with Obesity Based on the Updated Lyon Consensus 2.0 and Chicago Classification v4.0.

Obesity surgery·2026
Same author

Circulating HBV RNA and HBsAg seroconversion in patients with chronic HBV infection: a long-term follow-up study starting from childhood in Taiwan.

Gut·2025
Same author

Secular trend in hepatitis A infection and effect of hepatitis a vaccination: A nationwide surveillance in Taiwan, 2019-2020.

Journal of the Formosan Medical Association = Taiwan yi zhi·2025
Same author

The relationship between lymphocyte subtypes distribution and biliary cirrhosis in biliary atresia patients.

Pediatrics and neonatology·2025
Same author

Hepatitis B Vaccination: A Remarkable Success Story That Must Continue.

Gastroenterology·2025
Same journal

The frequency and characteristics of ultra-short celiac disease in children: A single-center experience.

European journal of pediatrics·2026
Same journal

Alagille syndrome case series: five new variants and two large deletions.

European journal of pediatrics·2026
Same journal

Plasma and urinary sTREM-1 as biomarkers of sepsis-associated acute kidney injury in critically Ill children.

European journal of pediatrics·2026
Same journal

Update on intestinal ultrasound in pediatric inflammatory bowel disease.

European journal of pediatrics·2026
Same journal

Atypical manifestations of dengue in pediatric patients hospitalized during the 2023-2024 epidemic in Argentina: a multicenter registry.

European journal of pediatrics·2026
Same journal

Cortical structure alterations in toddlers with different severities of congenital heart disease: a cross-sectional study.

European journal of pediatrics·2026
See all related articles

Tuberculous peritonitis, initially suspected as peritonitis carcinomatosis due to elevated cancer antigen-125 (CA-125), was diagnosed via laparoscopy. CA-125 levels decreased with anti-tuberculosis treatment, indicating its potential as a marker for disease activity.

Area of Science:

  • Infectious Diseases
  • Oncology
  • Gastroenterology

Background:

  • Tuberculous peritonitis is a significant cause of morbidity, particularly in endemic areas.
  • It often presents with non-specific symptoms mimicking other abdominal pathologies, complicating diagnosis.
  • Elevated cancer antigen-125 (CA-125) is typically associated with ovarian cancer but can be raised in other conditions.

Observation:

  • A 13-year-old female presented with symptoms suggestive of peritonitis, including fever and abdominal distension.
  • Imaging revealed omental cake and peritoneal thickening, leading to initial suspicion of peritonitis carcinomatosis.
  • Significantly elevated serum CA-125 levels (1248.5 U/ml) were noted.

Findings:

  • Diagnostic laparoscopy identified peritoneal tubercles, and pathology confirmed granulomatous inflammation.

Related Experiment Videos

  • Ascitic fluid culture isolated Mycobacterium tuberculosis, establishing the diagnosis of tuberculous peritonitis.
  • Following anti-tuberculosis treatment, the patient's symptoms resolved, and CA-125 levels decreased to 10.2 U/ml.

    • Implications:

    • This case highlights the diagnostic challenge of tuberculous peritonitis, especially when presenting with elevated CA-125.
    • Serum CA-125 levels may serve as a valuable non-invasive marker for monitoring disease activity and treatment response in tuberculous peritonitis.
    • Further research is warranted to validate CA-125 as a reliable biomarker in this condition.