Hysteroscopic Images from 30 Cases of Endometrial Tuberculosis

Abstract

Study ObjectiveThe purpose of this study is to demonstrate high resolution hysteroscopic images taken in different cases of endometrial tuberculosis.DesignRetrospective analysis of hysteroscopic images.SettingA private hysteroscopic surgery centre.PatientsConsecutive cases in which hysteroscopy was indicated between 1993 and 2012.InterventionHigh resolution hysteroscopic images were taken in cases where endometrial tuberculosis was suspected. Such images were later analyzed in greater detail to study and establish morphological features associated with the disease. The diagnosis of the disease was based on Polymerase Chain Reaction, BACTEC culture and histopathology.Measurements and Main ResultsWe observed that at fluid hysteroscopy endometrial tuberculosis was generally characterized by an irregular dirty looking pale endometrium with overlying whitish deposits. The rough endometrium and the whitish deposits were generally appreciated during the routine panoramic hysteroscopic visualization however in some cases such findings could be detected by utilizing 40x at source magnification. On rare occasions the whitish micro deposits were detected in the contact mode utilizing 80x at source magnification. All described findings were not necessararily present in each and every case. The appearance of endometrial tuberculosis thus differed from case to case. Evaluation of the hysteroscopic images helped us better diagnose endometrial tuberculosis on hysteroscopy.ConclusionIn this presentation we shall show high definition hysteroscopic images related to 30 different cases of endometrial tuberculosis. We believe that these images shall help the viewers to appreciate the varied endometrial appearances observed in endometrial tuberculosis. Study ObjectiveThe purpose of this study is to demonstrate high resolution hysteroscopic images taken in different cases of endometrial tuberculosis. The purpose of this study is to demonstrate high resolution hysteroscopic images taken in different cases of endometrial tuberculosis. DesignRetrospective analysis of hysteroscopic images. Retrospective analysis of hysteroscopic images. SettingA private hysteroscopic surgery centre. A private hysteroscopic surgery centre. PatientsConsecutive cases in which hysteroscopy was indicated between 1993 and 2012. Consecutive cases in which hysteroscopy was indicated between 1993 and 2012. InterventionHigh resolution hysteroscopic images were taken in cases where endometrial tuberculosis was suspected. Such images were later analyzed in greater detail to study and establish morphological features associated with the disease. The diagnosis of the disease was based on Polymerase Chain Reaction, BACTEC culture and histopathology. High resolution hysteroscopic images were taken in cases where endometrial tuberculosis was suspected. Such images were later analyzed in greater detail to study and establish morphological features associated with the disease. The diagnosis of the disease was based on Polymerase Chain Reaction, BACTEC culture and histopathology. Measurements and Main ResultsWe observed that at fluid hysteroscopy endometrial tuberculosis was generally characterized by an irregular dirty looking pale endometrium with overlying whitish deposits. The rough endometrium and the whitish deposits were generally appreciated during the routine panoramic hysteroscopic visualization however in some cases such findings could be detected by utilizing 40x at source magnification. On rare occasions the whitish micro deposits were detected in the contact mode utilizing 80x at source magnification. All described findings were not necessararily present in each and every case. The appearance of endometrial tuberculosis thus differed from case to case. Evaluation of the hysteroscopic images helped us better diagnose endometrial tuberculosis on hysteroscopy. We observed that at fluid hysteroscopy endometrial tuberculosis was generally characterized by an irregular dirty looking pale endometrium with overlying whitish deposits. The rough endometrium and the whitish deposits were generally appreciated during the routine panoramic hysteroscopic visualization however in some cases such findings could be detected by utilizing 40x at source magnification. On rare occasions the whitish micro deposits were detected in the contact mode utilizing 80x at source magnification. All described findings were not necessararily present in each and every case. The appearance of endometrial tuberculosis thus differed from case to case. Evaluation of the hysteroscopic images helped us better diagnose endometrial tuberculosis on hysteroscopy. ConclusionIn this presentation we shall show high definition hysteroscopic images related to 30 different cases of endometrial tuberculosis. We believe that these images shall help the viewers to appreciate the varied endometrial appearances observed in endometrial tuberculosis. In this presentation we shall show high definition hysteroscopic images related to 30 different cases of endometrial tuberculosis. We believe that these images shall help the viewers to appreciate the varied endometrial appearances observed in endometrial tuberculosis.