Imaging Spectrum of Female Genital Tuberculosis: A Comprehensive Review

Aggarwal, Ankita; Das, Chandan Jyoti; Manchanda, Smita

doi:10.1067/j.cpradiol.2021.06.014

Cited by 6 publications

(3 citation statements)

References 27 publications

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“…The endometrium may also be affected, as may ovarian reserve and oocyte quality. If left untreated, a 2014 study found that only 20% of women will fall pregnant subsequently, compared to 59% following appropriate intervention [19]. Understandably, the risk of ectopic pregnancy is increased in women who conceive after a genital TB diagnosis, 4%, compared to 2% in the general populace [20].…”

Section: Discussionmentioning

confidence: 99%

Tuberculosis in Regional Australia: Ectopic Pregnancy Complicating Indolent Genital Tract Disease

Xu¹,

Brown²,

Aboda³

et al. 2023

AustinJPublicHealthEpidemiol

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Female genital Tuberculosis (TB) is uncommon in Australia. It may, however, be a rarely considered cause of infertility and early pregnancy failure. We report the case of a 19-year-old migrant woman living in regional Australia who presented with ectopic pregnancy following prior treatment for genital tuberculosis. We highlight the vulnerability of migrant and indigenous Australians to chronic disease, the barriers that affect successful treatment and the strategies needed to mitigate disparity of healthcare providers not otherwise encountered in metropolitan populations.

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Section: Discussionmentioning

confidence: 99%

Tuberculosis in Regional Australia: Ectopic Pregnancy Complicating Indolent Genital Tract Disease

Xu¹,

Brown²,

Aboda³

et al. 2023

AustinJPublicHealthEpidemiol

View full text Add to dashboard Cite

show abstract

“…[ 20 ] Aggarwal et al . [ 21 ] also reviewed the role of HSG and ultrasound in FGTB and observed them to be the best to detect tubercular changes in fallopian tubes and uterus. [ 21 ] Thangappah et al .…”

Section: Discussionmentioning

confidence: 99%

“…[ 21 ] also reviewed the role of HSG and ultrasound in FGTB and observed them to be the best to detect tubercular changes in fallopian tubes and uterus. [ 21 ] Thangappah et al . [ 22 ] observed classification, distorted uterine cavity, beaded tubes, blocked tubes using intravasation of dye and hydrosalpinx in their recent study on HSG in FGTB.…”

Section: Discussionmentioning

confidence: 99%

Hysterosalpingography observations in female genital tuberculosis with infertility

et al. 2022

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Female genital tuberculosis: a clinical lecture

Kulchavenya

2022

Gynecology

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The problem of extrapulmonary tuberculosis (EPT) remains urgent since, along with a decrease in the incidence of the disease, there is an increase in the number of neglected, late diagnosed cases. Female genital tuberculosis (FGT) is a relatively rare disease difficult to diagnose, occurring on average in 0.52.0 cases per 100,000 population; in recent years, an increase of EPT in this localization has been observed. Tuberculosis can affect any organ of the female genital system, either single or in combination. The most frequently involved are the tubes (95100%), endometrium (5060%), ovaries (2030%), cervix (515%), myometrium (2.5%) and vagina/vulva (1%). The most common symptom of FGT that makes patients seek medical advice is infertility. Other symptoms of FGT include menstrual irregularities (oligo-, hypo-, dis-, amenorrhoea as well as meno- and metrorrhagia), pelvic pain, and abnormal vaginal discharge. In postmenopausal women, FGT is characterized by symptoms resembling endometrial malignancy, such as postmenopausal bleeding, persistent leukorrhea, and pyometra. The diagnosis is based on a thorough history, clinical examination, and proper examination of the sample material obtained by endoscopy. Tuberculin test with intradermal injection of 2 TU of tuberculin (Mantoux test) was positive in 42.6% of patients with genital tuberculosis. Hysterosalpingography is an important method for diagnosing FGT, which assesses the internal structure of the female reproductive tract and the patency of the fallopian tubes. On ultrasound, the fallopian tubes may appear dilated, thickened, or filled with serous discharge (hydrosalpinx) or caseous mass (pyosalpinx). Laparoscopy and dye hydrotubation are reliable tools for the diagnosis of genital tuberculosis, especially for the involvement of the fallopian tubes, ovaries, and peritoneum. Microbiological examination of sampled material in FGT using solid media is low-informative; polymerase chain reaction and other molecular diagnostic methods should be used. It should be acknowledged that FGT is not a rare condition, but it is often overlooked. The two main reasons for late diagnosis are vague clinical signs and low alertness. Since infertility is a frequent complication of FGT, all infertile women should be screened for tuberculosis: tuberculin, ultrasound, hysterosalpingography, and in complicated cases, diagnostic laparoscopy with obligatory tissue sampling for pathomorphological and microbiological studies.

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Imaging Spectrum of Female Genital Tuberculosis: A Comprehensive Review

Cited by 6 publications

References 27 publications

Tuberculosis in Regional Australia: Ectopic Pregnancy Complicating Indolent Genital Tract Disease

Tuberculosis in Regional Australia: Ectopic Pregnancy Complicating Indolent Genital Tract Disease

Hysterosalpingography observations in female genital tuberculosis with infertility

Female genital tuberculosis: a clinical lecture

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