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Eur J Pediatr Surg 2012; 22(04): 335-337
DOI: 10.1055/s-0032-1313342
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Pure Ovarian Tuberculosis as a Surprising Cause of Adnexal Mass in an Adolescent

İdil Rana User
1   Department of Pediatric Surgery, Hacettepe University, Ankara, Turkey
,
Sule Yalcin
1   Department of Pediatric Surgery, Hacettepe University, Ankara, Turkey
,
Diclehan Orhan
2   Department of Pediatric Pathology, Faculty of Medicine, Hacettepe University, Ankara, Turkey
,
Feridun Cahit Tanyel
3   Department of Pediatric Surgery, Children's Hospital, Hacettepe University, Ankara, Turkey
,
Ibrahim Karnak
4   Department of Pediatric Surgery, Faculty of Medicine, Hacettepe University, Ankara, Turkey
› Author Affiliations
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Publication History

29 December 2011

04 February 2012

Publication Date:
30 May 2012 (online)

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Introduction

Genitourinary tuberculosis is a form of extrapulmonary tuberculosis and it accounts for 4 to 15% of all tuberculosis cases.[1] Ovarian tuberculosis is a well-known cause of ovarian mass and ascites among young adult women in developing countries and immunocompromised patients in industrialized countries.[2] However, it is very uncommon to encounter tuberculosis in adnexal structures in children because kidneys and ureters are mostly affected in this age group.[1] Herein, we present a case of ovarian tuberculosis in an adolescent girl presenting with bilateral ovarian mass and no previous history of pulmonary tuberculosis.

 

  • References

  • 1 Nerli RB, Kamat GV, Alur SB, Koura A, Vikram P, Amarkhed SS. Genitourinary tuberculosis in pediatric urological practice. J Pediatr Urol 2008; 4 (4) 299-303
    CrossrefPubMedGoogle Scholar
  • 2 Xi X, Shuang L, Dan W , et al. Diagnostic dilemma of abdominopelvic tuberculosis:a series of 20 cases. J Cancer Res Clin Oncol 2010; 136 (12) 1839-1844
    CrossrefPubMedGoogle Scholar
  • 3 Nelson LJ, Wells CD. Tuberculosis in children: considerations for children from developing countries. Semin Pediatr Infect Dis 2004; 15 (3) 150-154
    CrossrefPubMedGoogle Scholar
  • 4 Chattopadhyay A, Bhatnagar V, Agarwala S, Mitra DK. Genitourinary tuberculosis in pediatric surgical practice. J Pediatr Surg 1997; 32 (9) 1283-1286
    CrossrefPubMedGoogle Scholar
  • 5 Sharma JB, Jain SK, Pushparaj M , et al. Abdomino-peritoneal tuberculosis masquerading as ovarian cancer: a retrospective study of 26 cases. Arch Gynecol Obstet 2010; 282 (6) 643-648
    CrossrefPubMedGoogle Scholar
  • 6 Mandalakas AM, Starke JR. Current concepts of childhood tuberculosis. Semin Pediatr Infect Dis 2005; 16 (2) 93-104
    CrossrefPubMedGoogle Scholar
  • 7 Lin YS, Huang YC, Lin TY. Abdominal tuberculosis in children: a diagnostic challenge. J Microbiol Immunol Infect 2010; 43 (3) 188-193
    CrossrefPubMedGoogle Scholar
  • 8 İlhan AH, Durmuşoğlu F. Case report of a pelvic-peritoneal tuberculosis presenting as an adnexial mass and mimicking ovarian cancer, and a review of the literature. Infect Dis Obstet Gynecol 2004; 12 (2) 87-89
    CrossrefPubMedGoogle Scholar
  • 9 Yılmaz A, Ece F, Bayramgürler B, Akkaya E, Baran R. The value of Ca 125 in the evaluation of tuberculosis activity. Respir Med 2001; 95 (8) 666-669
    CrossrefPubMedGoogle Scholar
  • 10 De Backer AI, Mortel KJ, Bomans P , et al. Female genital tract tuberculosis with peritoneal involvement: CT and MRI imaging features. Eur J Radiol Extra 2005; 53: 71-75
    CrossrefPubMedGoogle Scholar
  • 11 Fuentes ZM, Caminero JA. [Controversies in the treatment of extrapulmonary tuberculosis]. Arch Bronconeumol 2006; 42 (4) 194-201
    PubMedGoogle Scholar
  • 12 Reference Book for Tuberculosis Control in Turkey, The Republic of Turkey Ministry of Health Department of Tuberculosis Control. Available at: http://www.verem.org.tr/kitap.php
    PubMedGoogle Scholar