Magnetic resonance imaging findings among women with tubercular tubo-ovarian masses

Abstract

Objective To assess the usefulness of magnetic resonance imaging (MRI) in women with tubercular tubo-ovarian masses. Methods Twenty-four women with a confirmed diagnosis of tubercular tubo-ovarian masses underwent MRI. The findings were compared with laparotomy/laparoscopy results wherever possible. Results The mean age was 30.7 years and the mean parity was 1.5. The main symptom in 37.5% of patients was infertility. The MRI findings included unilateral definitive tubo-ovarian masses (n = 4 [16.7%]); bilateral definitive tubo-ovarian masses (n = 4 [16.7%]); unilateral hydrosalpinx (n = 8 [33.3%]); bilateral hydrosalpinx (n = 4 [16.7%]); unilateral adnexal cyst (n = 4 [16.7%]), tuberculous deposits on the liver (n = 1 [4.2%]); and cervical growth (n = 1 [4.2%]). Other associated findings were endometriosis (n = 2 [8.3%]), inclusion cyst (n = 1 [4.2%]), subserous fibroid (n = 1 [4.2%]), sacroiliac joint arthritis (n = 1 [4.2%]), and enteritis (n = 1 [4.2%]). Conclusion MRI seems to be a useful modality for the diagnosis of tubercular tubo-ovarian masses.