Two‐ and three‐dimensional sonographic findings of female pelvic tuberculosis

Sonographic features of pelvic tuberculosis mimicking ovarian‐tubal‐peritoneal carcinoma

“…In our case, TVS revealed the presence of normal ovaries and typical solid sausage-like bilateral lesions of the Fallopian tubes, with peritoneal and omental involvement, which raised suspicion of TB infection. As reported previously 5 , AFB staining and mycobacterial cultures were negative for TB in our case, and laparoscopic biopsy evaluation was required to make an accurate diagnosis, thereby facilitating the delivery of appropriate treatment and avoiding unnecessary extensive surgery.…”

“…Gynecological ultrasound performed by an experienced examiner could assist the differential diagnosis of pelvic TB. TVS features of female pelvic TB have been described in the literature 5 and include loculated/septate ascites, thickened peritoneum and omentum, and multilocular solid adnexal masses. In our case, TVS revealed the presence of normal ovaries and typical solid sausage-like bilateral lesions of the Fallopian tubes, with peritoneal and omental involvement, which raised suspicion of TB infection.…”

“…This case report suggests that TVS findings of miliary tubercles, peritoneal carcinomatosis and Fallopian tube carcinoma may be suggestive of TB. We advise searching for these TVS features, particularly in young women who present with specific clinical characteristics and sonographic evidence of ascites and pelvic masses [1][2][3][4][5][6] . However, a combination of ultrasound and early laparoscopy are fundamental to ruling out tuberculous peritonitis in patients with peritoneal malignancy of suspected gynecological origin.…”