Diagnosis of pelvic tuberculosis in a patient with tubal infertility

Crochet, John R.; Hawkins, Kristina C.; Holland, David; Copland, Susannah D.

doi:10.1016/j.fertnstert.2010.06.012

Cited by 6 publications

(6 citation statements)

References 19 publications

(20 reference statements)

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“…We can analyze the changes macroscopically (peritoneal carcinosis like lesions) and microscopically. Targeted biopsy and access to the peritoneal contents (body fluids, ascites) helps in further laboratory testing and pathology diagnosis which was not done initially in our case (12). Diagnostic laparoscopy with target biopsy and PCR is one of the fundamental diagnostic methods in making the right diagnosis.…”

Section: Discussionmentioning

confidence: 87%

Primary Peritoneal Tuberculosis with Ascites and Elevated CA 125 Mimicking Advanced Ovarian Carcinoma

Hrgović¹,

Kulaš²,

Bursac³

et al. 2014

Onkologische Welt

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ZusammenfassungWeltweit nimmt die Zahl der atypischen Formen der Tuberkulose zu, einschließlich der Beckentuberkulose. Hauptsächlich wird dies in Entwicklungsländern beobachtet mit einer schlechten Gesundheitsversorgung und einer hohen HIV-Prävalenz. Die Beckentuberkulose ist selten und schwer zu diagnostizieren, da unspezifisch und es oft zu unspezifischen klinischen Manifestationen kommt. Symptome der Erkrankung können Malignitäten vortäuschen und werden oft für adnexale Tumoren gehalten, besonders bei Vorliegen einer Aszites. Häufig werden die Fehldiagnosen und Therapie-Entscheidungen verbunden mit verstümmelnden unnötigen chirurgischen Eingriffen. Die Diagnose folgt dann nach der Biopsie und Pathohistologie. Retrospektiv werden Malignitäten ausgeschlossen. Die diagnostische Laparoskopie mit Biopsie im Zielgebiet und PCR sind die grundlegenden Methoden für eine korrekte Diagnsotik. Wir stellen hier den seltenen Fall einer Patientin mit Beckentuberkulose vor, die sich mit Harninkontinenz, Aszites und erhöhtem Tumor-Marker CA-125 vorstellte, was zunächst zu der Fehldiagnose einer gynäkologischen Malignität führte. Wenn gynäkologische Symptome behandelt werden, muss auch an ein Beckentuberkulose gedacht werden, die gynäkologische Malignitäten vortäuschen können.

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Section: Discussionmentioning

confidence: 87%

Primary Peritoneal Tuberculosis with Ascites and Elevated CA 125 Mimicking Advanced Ovarian Carcinoma

Hrgović¹,

Kulaš²,

Bursac³

et al. 2014

Onkologische Welt

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“…According to Jha A et al and Gungorduk K genital TB is rare after menopause. [10,11] Apart from infertility, the other major presenting complaints described include abnormal bleeding, pelvic pain and menstrual irregularity. In a study done by Singh N et al, revealed menstrual abnormalities in 30% patients in which menstrual abnormality were in the form of hypomenorrhoea and secondary amenorrhoea.…”

Section: Discussionmentioning

confidence: 99%

Study of Genital Tuberculosis in Infertile Women

Ohri¹,

Patil²,

Patil³

et al. 2016

jemds

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AIMTo determine the incidence of female Genital Tuberculosis (GTB) and to analyse clinicopathological features for GTB and comparison of Polymerase Chain Reaction (PCR), Acid Fast Bacillus (AFB) staining and Histopathology (HPR). STUDY SETTINGA prospective study conducted on 50 infertile patients in the Department of Obstetrics and Gynaecology at Krishna Hospital, Karad, for a period of 2 years between December 2013 and December 2015. METHODSPatients were investigated for the presence of Mycobacterium Tuberculosis (MTB) on samples collected by endometrial curettage by PCR, AFB and HPR. Additional tests like Hysterosalpingography (HSG) Laparoscopic chromopertubation and hysteroscopy were performed if not done earlier. RESULTPCR demonstrated MTB DNA in 9 patients, and 2 were positive with AFB and HPR. Within positive patients HSG findings were suggestive of TB in 3 cases and laparoscopy in 5 cases and hysteroscopy in 4 cases. Two MTB PCR positive patients conceived spontaneously after 6 months of anti-tubercular treatment.

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“…This diagnosis, which is rare in most of the world, has an extremely poor prognosis [39,40]. Women with pelvic tuberculosis frequently present to care secondary to tubal-factor infertility [40,41]. The prevalence has been reported anywhere from 1 to 19% [40].…”

Section: Art Outcomesmentioning

confidence: 99%

“…The prevalence has been reported anywhere from 1 to 19% [40]. This condition is becoming more frequent in western countries due to the increase in individuals migrating from developing countries and the increase in drug-resistant tuberculosis [40,41]. A high index of suspicion for genital tuberculosis may be warranted in young Indian women with unexplained tubal-factor infertility and may be a factor in poor obstetrical outcomes in this group.…”

Section: Art Outcomesmentioning

confidence: 99%

Ethnicity and assisted reproductive technologies

Armstrong¹,

Plowden²

2012

Clinical Practice

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SUMMARY Racial and ethnic disparities have been reported in every field of medicine. High costs associated with infertility treatment and restricted access to care has made assisted reproductive technologies particularly susceptible and vulnerable to disparity. Despite advances in the field, emerging literature has continued to demonstrate poorer outcomes in minority women receiving treatment with assisted reproductive technologies.

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Diagnosis of pelvic tuberculosis in a patient with tubal infertility

Cited by 6 publications

References 19 publications

Primary Peritoneal Tuberculosis with Ascites and Elevated CA 125 Mimicking Advanced Ovarian Carcinoma

Primary Peritoneal Tuberculosis with Ascites and Elevated CA 125 Mimicking Advanced Ovarian Carcinoma

Study of Genital Tuberculosis in Infertile Women

Ethnicity and assisted reproductive technologies

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