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Abdominal mycobacterial infection mimicking a gynecologic neoplasm: a case report with sonographic findings
W J Uzelmeier1, J R Parker, N Jaffee
1University of Oklahoma Health Sciences Center, Department of Pathology, Oklahoma City 73190, USA.
Abstract:
Computed tomography (CT) appears to be the imaging procedure of choice for evaluation of intra-abdominal and pelvic mycobacterial infections. In view of the limited descriptions of these lesions, we describe a patient who presented with transabdominal ultrasound findings of a pelvic mass. Transvaginal ultrasound was suspicious for ovarian neoplasm, yet at laparotomy, fibrous studding of the peritoneum and inflammatory exudate encasing the pelvic small bowel was discovered. The fallopian tubes were thickened and friable. Permanent histologic sections revealed caseating granulomata with acid-fast bacilli.