OVARIAN CYST REVEALING ENDOMETRIAL TUBERCULOSIS – A CASE REPORT
Manasa Bollampally*, Pravallika Guttu, Sandeep Ankam, Aruna Surakasula, RamMohan Reddy T.
ABSTRACT
Pulmonary Tuberculosis (TB) is the primary and most common presentation, but extra-pulmonary tuberculosis has shown an increase in developing countries like India even after years of Revised National Tuberculosis Control Programme (RNTCP). Female genital tract is one of the commonest types of extra pulmonary tuberculosis and clinically, infertility is the most common presentation.In this case, a 25 year old female presented with chief complaints of pain in abdomen insidious in onset continuous dragging in nature, dysuria, fever since 3 days and complained of infertility since 2 years. Computed tomographyscan of abdomen revealed an impression of right ovarian complex cyst. Laparotomy was done and the postoperative histopathological examination shows proliferative phase with numerous caseations granuloma- tuberculous endometritis. Hence, methods like eliciting clinical data, endometrial histopathology, and culture of acid fast bacillus, along with Polymerase Chain Reaction assays are considered to be the best available modalities for diagnosis of tuberculosis in infertility at early stage.
Keywords: Ovarian cyst, endometrial tuberculosis, Infertility.
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