Pelvic tuberculosis presenting as an asymptomatic pelvic mass with rising serum CA-125 levels. A case report.

INTRODUCTION: The incidence of tuberculosis is rapidly rising. This disease may present in an atypical manner, and physicians must reacquaint themselves with its protean manifestations. CASE REPORT: A 41-year-old woman presented with an asymptomatic pelvic mass and rising levels of serum CA-125. At operation she had bilateral adnexal masses and generalized military peritoneal lesions, initially mistaken for ovarian carcinoma. The final diagnosis demonstrated tuberculosis.
CONCLUSION: Tuberculosis must enter into the diagnosis of a pelvic mass.