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Genital tuberculosis

Case contributed by Prashant Mudgal

Presentation

Lady presented with secondary infertility. Undergoing treatment for pulmonary tuberculosis.

Patient Data

Age: 30 years
Gender: Female
Fluoroscopy

Uterus is small in size and shows irregular outline with tiny diverticulae.
Irregular borders and beaded appearance noted in both the fallopian tubes with obstruction at distal isthmic portion with 'golf club' appearance.

No peritoneal spillage is seen on either side.

Imaging features are most likely suggestive of genital tuberculosis.
 

Case Discussion

Hysterosalpingography (HSG) is the most useful examination in suggesting genital tuberculosis.

In spite of technological advances in radiology it remains the gold standard test for evaluation of internal architecture of female genital tract.

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