Female genital tuberculosis is an uncommon condition. We have recently performed an ultrasound examination on an unexpected case and we present the sonographic findings. CASE REPORTA 59-year-old female was admitted to the hospital because of congestive heart failure. She also had diabetes mellitus and rheumatoid arthritis. After her heart failure and diabetes were controlled, urinary analysis revealed microscopic hematuria. An intravenous urogram was performed and demonstrated a large indentation on the right side of the dome of the bladder. She was referred for pelvic sonography .The sonogram demonstrated a well-defined mass indenting the urinary bladder. There was considerable sound transmission but no posterior enhancement. This mass extended from the midline to the right side. The vagina could be identified, but the junction with the mass was obscured by refractive shadowing from the top of the bladder. The uterus and the ovaries could not be identified with certainty (Figs. 1-3). As these organs might be atrophic and difficult to be imaged, a definite distinction between a uterine or ovarian mass could not be made confidently.The patient gave no history of vaginal discharge nor postmenopausal bleeding. The clinical impression was that this was more likely to be an ovarian mass. Laparoscopy was not contemplated because of previous operations. At laparotomy, extensive dense adhesion was encountered making it difficult to ascertain the origin of the mass. FIGURE 1. Longitudinal scan midline: B = urinary bladder; U = uterus = mass; and X = cervix.
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