Tubal involvement in genital tuberculosis

Case contributed by Dr Hidayatullah Hamidi

Presentation

Primary infertility for five years. History of pulmonary tuberculosis.

Patient Data

Age: 30 years old
Gender: Female
Fluoroscopy

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.

Case Discussion

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.

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Case information

rID: 56440
Published: 1st Nov 2017
Last edited: 11th Apr 2018
System: Gynaecology
Inclusion in quiz mode: Included
Institution: French Medical Institute for Mothers and Children

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