Isolated Ovarian Tuberculosis Mimicking Ovarian Malignancy in a Young Female with Primary Infertility: A Case Report.

Authors

Mohammad Fahim Sarwary, Mahbobullah Sediqi, Mohammad Hussain Modabber, Mohammad Ibrahim Kamal, Amjadzia Bawarzai, Maiwand Marofi, Abdul Ghaffar Mukhlis, Latifa Sadeqy

Published in

International medical case reports journal. Volume 19. Pages 636922. Epub Sep 23, 2026.

Abstract

Tuberculosis (TB) is an infectious disease that most commonly affects the lungs and remains among the top 10 causes of death worldwide. Isolated ovarian tuberculosis is a rare form of extrapulmonary TB that usually presents with atypical symptoms and infertility. It brings significant diagnostic challenges and may mimic ovarian malignancy.
A 23-year-old nulliparous Afghan woman underwent laparotomy for suspected ovarian adnexal masses/ovarian tumor after presenting with pelvic pain, prolonged low-grade fever, and infertility for five years following marriage. Intraoperatively, bilateral ovarian cysts were noted; subsequently, bilateral cystectomies were done. Postoperative Histopathology of surgical specimens confirmed the diagnosis of tuberculosis lesions, and the patient was referred for anti-tuberculous therapy.
Isolated ovarian tuberculosis can present as adnexal masses with elevated CA-125 and could closely mimic ovarian malignancy. This case highlights the need to consider ovarian tuberculosis in the differential diagnosis, particularly in endemic regions. It emphasizes the value of histopathological confirmation to prevent misdiagnosis and to recommend early initiation of antitubercular therapy for favorable clinical outcomes.

PMID:
42802860
Bibliographic data and abstract were imported from PubMed on 28 Sep 2026.

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