Tubal involvement in genital tuberculosis
Primary infertility for five years. History of pulmonary tuberculosis.
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Tiny diverticula involving the proximal parts of both fallopian tubes. Multiple constrictions along the course of bilateral fallopian tubes giving ‘‘beaded’’ appearance to the tubes. No free peritoneal spillage of contrast after 20 minutes.
Nodular diverticular spaces involving the fallopian tubes, usually in the proximal two-thirds of the fallopian tubes, is a characteristic feature of salpingitis isthmica nodosa. However, in this patient with clinical history of pulmonary tuberculosis and beaded appearing strictures of the both fallopian tubes, tubal involvement of tuberculosis should be considered.