Abstract
A 35-year-old mother of one child, presented with inability to conceive for two years and a chronic lower abdominal pain. Laparoscopy revealed extensive adhesions in the bilateral adnexal regions and adhesion of uterus to the bowel. Subsequently, she underwent a total abdominal hysterectomy and bilateral salpingo-oophorectomy. Histopathological examination of endometrium, myometrium, both ovaries and fallopian tubes revealed several granulomata with caseous necrosis. Special stain for acid fast bacilli was negative. However, based on the presence of characteristic caseating granulomata, the diagnosis is most likely tuberculosis.
Highlights
Tuberculosis (TB) is an infectious disease caused by the bacterium Mycobacterium tuberculosis, which remains as a major public health problem despite the advances in antibiotic treatment and vaccination
We report a case of a middle-aged female who was investigated for secondary subfertility and found to have Genital tuberculosis (GTB)
A) Endometrium revealing coalescent caseating granulomas(x4); B) Myometrium showing a large granuloma with central caseation(x4); C) Left ovary showing a granuloma(x4); D) Several granulomas in right fallopian tube(x4)
Summary
A 35-year-old mother of one child, presented with inability to conceive for two years and a chronic lower abdominal pain. Laparoscopy revealed extensive adhesions in the bilateral adnexal regions and adhesion of uterus to the bowel. She underwent a total abdominal hysterectomy and bilateral salpingo-oophorectomy. Histopathological examination of endometrium, myometrium, both ovaries and fallopian tubes revealed several granulomata with caseous necrosis. Special stain for acid fast bacilli was negative. Based on the presence of characteristic caseating granulomata, the diagnosis is most likely tuberculosis
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