PMC5925173_01
Intraoperative findings of disseminated pelvic tuberculosis: on diagnostic laparoscopy, diffuse disease presumed to represent advanced-stage ovarian cancer which included an obliterated posterior cul-de-sac (*), numerous granulomas (arrows), and distorted pelvic viscera where only uterine body was identified (arrow head.).
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fig1
Diffuse disease representing presumed carcinomatosis was encountered (Figure 1).
Histopathological analysis. The specimen contains noncaseating granulomata composed of aggregates of epithelioid histiocytes and Langerhans giant cells surrounded by chronic inflammation. The special stain AFB is negative for acid fast organisms and the special stain Gomori Methenamine Silver (GMS) is negative for organisms. (a) Granuloma H&E staining (4x). (b) Granuloma H&E staining (10x). (c) Granuloma H&E staining (20x). (d) Granuloma H&E staining (40x).
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fig2
Preliminary acid fast bacilli (AFB) stains were negative (Figure 2).