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Diagnosis of abdominal tuberculosis by transabdominal ultrasound‐guided needle biopsy
Author(s) -
Caspi B.,
Wolach V.,
Von Der Walde J.,
Weiss Y.,
Appelman Z.,
Hagay Z.
Publication year - 2000
Publication title -
ultrasound in obstetrics and gynecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.202
H-Index - 141
eISSN - 1469-0705
pISSN - 0960-7692
DOI - 10.1046/j.1469-0705.2000.00235.x
Subject(s) - medicine , laparotomy , radiology , biopsy , tuberculosis , differential diagnosis , malignancy , laparoscopy , ultrasound , ovarian cancer , surgery , adnexal mass , abdominal ultrasonography , ultrasonography , cancer , pathology
Laparotomy and laparoscopy have been used for biopsy of pelvic masses in the differential diagnosis between abdominal tuberculosis and ovarian cancer. We suggest the use of transabdominal needle biopsy under ultrasound guidance in such cases. Two women developed abdominal distention, one of whom had been receiving medical treatment for known tuberculosis. In both cases, ultrasonography showed a pelvic mass and ascites associated with high levels of CA 125. A transabdominal ultrasonographically‐guided biopsy of the masses with a trucut needle established their tuberculous origin. The transabdominal sonographic needle biopsy is a reliable diagnostic procedure in the differential diagnosis between abdominal tuberculosis and ovarian malignancy. This minimally invasive procedure saves the patient with tuberculosis from unnecessary laparotomy. Copyright © 2000 International Society of Ultrasound in Obstetrics and Gynecology