Hou XQ, Cui HH, Jin X. Coexistence of tuberculous peritonitis and primary papillary serous carcinoma of the peritoneum: A case report and review of the literature. World J Gastroenterol 2009; 15(6): 761-763 [PMID: 19222106 DOI: 10.3748/wjg.15.761]
Corresponding Author of This Article
Xing Jin, Department of General Surgery, Shandong Provincial Hospital, Shandong University, Jinan 250021, Shandong Province, China. xingjinsd@yahoo.cn
Article-Type of This Article
Case Report
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World J Gastroenterol. Feb 14, 2009; 15(6): 761-763 Published online Feb 14, 2009. doi: 10.3748/wjg.15.761
Coexistence of tuberculous peritonitis and primary papillary serous carcinoma of the peritoneum: A case report and review of the literature
Xiang-Qian Hou, Hai-Hong Cui, Xing Jin
Xiang-Qian Hou, Xing Jin, Department of General Surgery, Shandong Provincial Hospital, Shandong University, Jinan 250021, Shandong Province, China
Hai-Hong Cui, Department of Digestive Disease, the 456 hospital of PLA, Jinan 250031, Shandong Province, China
Author contributions: Hou XQ, Cui HH and Jin X contributed equally to this work; Hou XQ, Cui HH performed research; Hou XQ, Cui HH, Jin X wrote the paper.
Correspondence to: Xing Jin, Department of General Surgery, Shandong Provincial Hospital, Shandong University, Jinan 250021, Shandong Province, China. xingjinsd@yahoo.cn
Telephone: +86-531-88382783
Fax: +86-531-87060696
Received: June 29, 2008 Revised: August 3, 2008 Accepted: August 10, 2008 Published online: February 14, 2009
Abstract
A major diagnostic challenge to the evaluation of an incomplete intestinal obstruction is to distinguish between infectious and malignant etiologies. We present a case of an elderly woman complaining of abdominal pain accompanied with nausea and vomiting, and failure to pass gas or stools. Anti-tuberculosis drugs were used to relieve her abdominal pain, and a needle biopsy of the peritoneal cavity showed evidence of primary papillary serous carcinoma of the peritoneum (PSCP). This is a rare description of tuberculosis in the setting of PSCP. This report illustrates the potential complex nature of malignancies, and emphasizes the need to consider coexistence of malignancy and infection in patients, especially in those with risk factors for malignancy who fail with antibiotic therapy.
