PMC5318682_01
56-year-old woman had suffered from abdominal fullness for three months.. (A) Axial contrast-enhanced abdominopelvic CT scan shows a uniform well-enhanced peritoneum (black arrow), and bilateral dilated convoluted fallopian tubes with intense mucosal enhancement (white arrow) representing bilateral salpingitis; these findings combined with dirty fat strandings identify infection.. (B) Axial contrast-enhanced CT scan shows the nodules of the omentum (black arrow) and loculated ascites (white arrow).. (C) Coronal contrast-enhanced CT scan demonstrates the disproportionate left ovarian mass (arrow) with loculated ascites, in contrast to the usual findings of ovarian cancer.
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F1
Abdominopelvic CT revealed multiloculated ascites in her abdomen and pelvis, thickened peritoneum, strandings in the omentum, small mesenteric nodules, enlarged mesenteric and paraaortic lymph nodes, prominent ovaries, and dilated fallopian tubes (Figure 1(Fig. 1)).
Photograph of histological specimen. (A) Hematoxylin and eosin stain shows the caseous necrosis (long arrow) and Langhans giant cell (short arrow) confirming tuberculosis peritonitis. (B) Acid-fast stain shows the tubercle bacilli (red circle)
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F2
Microscopic sections showed granulomatous inflammation with central caseous necrosis, epithelioid histiocytes and Langhans giant cells in the ovary, fallopian tube, and peritoneum (Figure 2A(Fig. 2)). Mycobacterial bacilli were also demonstrated by acid-fast stain (Figure 2B(Fig. 2)).