Previous Article in Journal
Integrated Surveillance for Human and Animal Brucellosis in Kenya: A Predictive Analysis
Previous Article in Special Issue
A Blood and Biochemical Indicator-Based Prognostic Model Predicting Latent Tuberculosis Infection: A Retrospective Study
 
 
Search for Articles:
Title / Keyword
Author / Affiliation / Email
Journal
Article Type
 
 
Advanced Search
 
Section
Special Issue
Volume
Issue
Number
Page
 
Journals
TropicalMed
Volume 10
Issue 12
10.3390/tropicalmed10120346
tropicalmed-logo
Submit to this Journal Review for this Journal Propose a Special Issue
► Article Menu

Article Menu

share Share announcement Help format_quote Cite question_answer Discuss in SciProfiles
first_page
settings
Order Article Reprints
Font Type:
Arial Georgia Verdana
Font Size:
Aa Aa Aa
Line Spacing:
Column Width:
Background:
This is an early access version, the complete PDF, HTML, and XML versions will be available soon.
Case Report

Hidden in Plain Sight: Peritoneal Tuberculosis Mimicking Ovarian Neoplasm—A Case Report

by
Dolfus Santiago Romero-Rojas
1,*,
Andrés Rojas-Torres
1,
Brenda Amell-Barón
1,
David Serna
1,
Luis Vasquez-Pinto
1,
Luis Eduardo Barrera-Herrera
2 and
Javier Iván Lasso-Apraez
1
1
Pulmology Department, Hospital Universitario San Ignacio, Bogotá 110231, Colombia
2
Pathology Department, Hospital Universitario San Ignacio, Bogotá 110231, Colombia
*
Author to whom correspondence should be addressed.
Trop. Med. Infect. Dis. 2025, 10(12), 346; https://doi.org/10.3390/tropicalmed10120346
Submission received: 20 October 2025 / Revised: 25 November 2025 / Accepted: 4 December 2025 / Published: 9 December 2025
(This article belongs to the Special Issue Biomarkers, Diagnostic, and Therapeutic Approaches for Mycobacterial Diseases)
Versions Notes

Abstract

Tuberculosis remains the deadliest infectious disease worldwide. Among extrapulmonary forms, peritoneal tuberculosis stands out as a rare and challenging diagnosis, often mistaken for intra-abdominal neoplasms or peritoneal carcinomatosis. The clinical, paraclinical, and imaging findings are similar and sometimes indistinguishable between the two entities, making the diagnosis a challenge for the treating physician. Here, we present the case of a young woman with chronic constitutional symptoms who presented to the emergency department with abdominal pain and ascites. An initial differential diagnosis of peritoneal carcinomatosis was considered based on findings in the peritoneal fluid and abdominal CT scan, leading to diagnostic laparoscopy. Histopathological examination of the samples revealed non-caseating granulomas involving the peritoneum, with no findings suggestive of malignancy. Subsequently, molecular testing for Mycobacterium tuberculosis was positive in the biopsies and peritoneal fluid, establishing the diagnosis of peritoneal tuberculosis. This case highlights the importance of awareness of peritoneal tuberculosis as a differential diagnosis of ascites and its significant potential to mimic other pathologies.
Keywords: peritoneal tuberculosis; disseminated tuberculosis; peritoneal carcinomatosis peritoneal tuberculosis; disseminated tuberculosis; peritoneal carcinomatosis

Share and Cite

MDPI and ACS Style

Romero-Rojas, D.S.; Rojas-Torres, A.; Amell-Barón, B.; Serna, D.; Vasquez-Pinto, L.; Barrera-Herrera, L.E.; Lasso-Apraez, J.I. Hidden in Plain Sight: Peritoneal Tuberculosis Mimicking Ovarian Neoplasm—A Case Report. Trop. Med. Infect. Dis. 2025, 10, 346. https://doi.org/10.3390/tropicalmed10120346

AMA Style

Romero-Rojas DS, Rojas-Torres A, Amell-Barón B, Serna D, Vasquez-Pinto L, Barrera-Herrera LE, Lasso-Apraez JI. Hidden in Plain Sight: Peritoneal Tuberculosis Mimicking Ovarian Neoplasm—A Case Report. Tropical Medicine and Infectious Disease. 2025; 10(12):346. https://doi.org/10.3390/tropicalmed10120346

Chicago/Turabian Style

Romero-Rojas, Dolfus Santiago, Andrés Rojas-Torres, Brenda Amell-Barón, David Serna, Luis Vasquez-Pinto, Luis Eduardo Barrera-Herrera, and Javier Iván Lasso-Apraez. 2025. "Hidden in Plain Sight: Peritoneal Tuberculosis Mimicking Ovarian Neoplasm—A Case Report" Tropical Medicine and Infectious Disease 10, no. 12: 346. https://doi.org/10.3390/tropicalmed10120346

APA Style

Romero-Rojas, D. S., Rojas-Torres, A., Amell-Barón, B., Serna, D., Vasquez-Pinto, L., Barrera-Herrera, L. E., & Lasso-Apraez, J. I. (2025). Hidden in Plain Sight: Peritoneal Tuberculosis Mimicking Ovarian Neoplasm—A Case Report. Tropical Medicine and Infectious Disease, 10(12), 346. https://doi.org/10.3390/tropicalmed10120346

Article Metrics

Back to TopTop