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A patient with tuberculous peritonitis with very high serum CA 125
Bong Soo Seo1, In Kyeom Hwang, Ji Eun Ra
1Department of Internal Medicine, Sanbon Hospital, Wonkwang University, Gunpo, Republic of Korea.
BMJ Case Reports
|September 25, 2012
Abstract:
An 88-year-old woman presented with abdominal pain and distension. Serum cancer antigen 125 (CA 125) level was very high; however, abdominal CT reveals ascites without definite mass. Ascites analysis revealed a lymphocytic exudate with high adenosine deaminase enzyme level, negative stains for bacteria and negative PCR for Mycobacterium tuberculosis. Presumptive diagnosis for tuberculous peritonitis was made and antituberculous therapy resulted in the resolution of ascites and normalisation of CA 125.
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