Female genital system tuberculosis: a retrospective clinicopathological study of 1,548 cases in Turkish women

Abstract

The clinicopathological criteria of female genital tuberculosis in the different organs are described, and special attention is paid to infertility associated with tuberculous lesion, and awareness of the fact that the disease is still with us is thus particularly important.

Pelvic Inflammatory Disease: A Retrospective Clinical Analysis of 1,922 Cases in North China

“…The mode of spread is usually hematogenous or lymphatic and occasionally occurs by way of direct contiguity with an intra-abdominal or peritoneal focus. Various sources appear to agree that the fallopian tubes are likely to be the initial source of infection, because the fallopian tube forms a most favorable nidus for tubercle bacilli with the earliest lesion found in the mucosa [12,13]. The tendency of the tubercle bacillus to affect bilateral organs results in both tubes being involved in the tuberculous process.…”

A Case of Peritoneal-Pelvic Tuberculosis With Elevated CA-125; An Enigma as Ovarian Cancer

“…2,6 It classically presents with abdominal pain ( 4 5 -1 0 0 % ) , m e n s t r u a l d i s t u r b a n c e (oligomenorrhoea) (4-54%), polymenorrhoea (26.9%), dysmenorrhea (12-30%), menorrhagia (19%), hypomenorrhoea (15.4%), amenorrhea (14%), infertility (43-74%), abdominal distention (30.7-45%), weight loss (20-40%), abdominal mass (19.2-35%), anorexia (15-20%), fever (7.7-30%), positive past history/family history of TB (10-85%), night sweats (9.09%), diarrhoea (5%), urinary frequency (5%), dyspnea (5%). 2,[6][7][8] Ultrasonography and CT scan have been used for its diagnosis but have limited efficacy due to its diffuse nature and small implants. Ultrasound usually shows exudative ascites-free or partitioned, thickened peritoneum, clumping of bowel loops to each other or to the anterior abdominal wall, peritoneal nodules, enlarged lymph nodes, and adnexal masses.…”

“…1 Among different forms of extrapulmonary-TB, Peritoneal-pelvic Tuberculosis is rare-type with unknown true incidence due to its atypical presentation. 2 Despite its classic presentation of abdominal pain, menstrual disturbances, pelvic masses, and elevated serum CA-125 level, none of these features are specific for its diagnosis and differentiation from genitourinary malignancy, especially ovarian, among adult women. 3,4 So, its diagnosis requires a high level of suspicion among adult women presenting with such features in TB endemic region and prevents inappropriate management of patient.…”

Genital Tract Tuberculosis in a 42-year Female Masquerading as Ovarian Malignancy

“…Tuberculosis (Tb) is a deadly chronic infection, presenting as progressive body wasting, pulmonary involvement is the rule, although every organ may be affected [1][2][3]. Female genital tuberculosis is often misdiagnosed due to non-specificity of symptoms [4][5][6] and the…”