Tuberculous pelvic inflammatory disease

Tuberculous pelvic inflammatory disease refers to pelvic inflammatory disease due to Mycobacterium tuberculosis.

Genital tract involvement may be present in ~1.5% of cases of those affected with tuberculosis 4.

Infection almost always results from spread from an extragenital source 1, usually from a haematogenous source or less commonly, via lymphatic vessels or from the peritoneal cavity.

In the vast majority of cases, it involves the Fallopian tubes: tubal tuberculosis 1, Involvement is often bilateral 4.

  • tubal involvement:
    • obstruction of the Fallopian tube in the zone of transition between the isthmus and the ampulla
    • multiple constrictions along the course of the Fallopian tube (resulting in a beaded appearance to the tube)
  • endometrial involvement: features may vary; the spectrum according to one study was 2
    • normal uterine cavity: ~57% 
    • irregular cavity: ~18.5%
    • irregular filling defect: ~18.5%
    • uterine synechiae:  ~17%
    • shrunken cavity: ~3%
  • adnexal involvement
    • they may be calcified lymph nodes or smaller, irregular calcifications in the adnexal area

For the hysterosalpingography appearance consider:

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Article information

rID: 13859
System: Gynaecology
Tag: cases
Synonyms or Alternate Spellings:
  • Genital tuberculosis
  • Genital TB
  • Tuberculous PID
  • PID with TB

Cases and figures

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    Case 1: irrgular cavity with beaded tubes
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