Intraluminal tubal adhesions

Hysteroscopic findings of starry sky appearance and impregnated cobwebs in endometrial tuberculosis

“…In patients with endometrial tuberculosis whitish deposits are usually found anchored directly to the endometrial surface [1–3]; however, in the present study, the whitish deposits were impregnated on minute flimsy strands of cobweb‐like adhesions that did not overlie the endometrium. These cobweb adhesions broke very easily and gentle manipulation was necessary while evaluating this fragile pathology.…”

“…Hysteroscopy is a useful technique to detect endometrial tuberculosis [1–3]. Past studies have described the hysteroscopic findings of tubercular endometritis as thin, dirty‐looking, pale, irregular endometrium with whitish deposits attached to the endometrial surface [1–3]. However, these signs may not all be present in the same case or may be mild so that, even at hysteroscopy, the diagnosis may be doubtful or missed.…”

Abnormal Endometrium and Hysteroscopy

“…Many past studies have considered fluid hysteroscopy to be a reliable and useful exami nation for investigating endometrial tuberculosis [14][15][16][17][18][19][20][21].…”

“…In endometrial tuberculosis, intraluminal adhesions in the interstitial part of the fallopian tube can often be viewed at hysteroscopy by placing the microhysteroscope tip very close to the tubal orifice and viewing with a source magnification of 25× [23].…”