Related Experiment Videos
Raised CA125 serum level in tubercular peritonitis.
Zohrerh Atarod1, Taraneh Geran-Ourimi, Fereshteh Yazdani
1Department of Gynecology and Obstetrics, Mazandaran University of Medical Sciences, Sari, Iran.
JPMA. the Journal of the Pakistan Medical Association
|February 25, 2012
Summary
Tuberculosis peritonitis (TBP) can be challenging to diagnose, often requiring surgical exploration. Early diagnosis and treatment are crucial, especially in young women, to preserve fertility.
Area of Science:
- Gynecology
- Infectious Diseases
- Pathology
Background:
- Tuberculosis peritonitis (TBP) presents diagnostic challenges, particularly in premenopausal women.
- Standard diagnostic methods like ESR, CA125, PPD tests, ultrasound, and CT scans can be inconclusive.
Observation:
- A 24-year-old woman presented with fever and pelvic pain, elevated ESR and CA125, and a negative PPD test.
- Imaging revealed free abdominopelvic fluid; laparotomy identified fibrotic sacs with miliary granulomatous nodules.
Findings:
- Pathologic examination confirmed multiple granulomatous lesions, leading to a diagnosis of TBP.
- The patient's condition significantly improved with specific antibiotic therapy.
Implications:
- Laparotomy and pathological examination are vital for accurate TBP diagnosis when other methods fail.
- This diagnostic approach is particularly important in premenopausal females to safeguard fertility.
Related Concept Videos
01:26Pulmonary Tuberculosis IV
Tuberculosis, more commonly referred to as TB, is an infectious disease stemming from Mycobacterium tuberculosis. While it primarily impacts the lungs, TB can also affect other body areas. Given its severity and global impact, timely and accurate diagnosis is crucial for controlling its spread and improving patient outcomes.
Several diagnostic approaches are used to detect TB. The conventional method is the Tuberculin Skin Test (TST), also known as the Mantoux test. However, this method has...
Several diagnostic approaches are used to detect TB. The conventional method is the Tuberculin Skin Test (TST), also known as the Mantoux test. However, this method has...
01:31Pulmonary Tuberculosis III
Tuberculosis (TB) is a contagious infection primarily affecting the lung parenchyma but which can also affect other body parts. TB can be classified based on disease development, presentation, and the affected anatomical site.
The first classification is based on the development of the disease, and it includes the following categories:
The first classification is based on the development of the disease, and it includes the following categories:
01:24Serum Studies: Renal Function Tests
Renal function tests are crucial for assessing kidney health, monitoring disease progression, and evaluating the kidneys' efficiency in waste elimination, fluid balance, and electrolyte regulation. These tests offer critical insights into kidney function, even though routine measurements may appear normal until there is a significant decline in the glomerular filtration rate or GFR. Typically, signs of kidney impairment only become evident when the GFR falls to about 50% of its normal level.
01:19Pericarditis II: Clinical Features and Diagnostic Tests
Pericarditis is distinguished by inflammation of the pericardium, the fibrous sac that encases the heart. It can be acute, lasting less than six weeks, or chronic, persisting for over three months. Understanding its clinical manifestations and diagnostic findings is crucial for timely and effective management.Clinical ManifestationsWhile pericarditis can be asymptomatic, it usually presents with characteristic symptoms such as:Chest Pain: The most characteristic symptom of pericarditis is chest...