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Genital tuberculosis and endometriosis coexisting in an infertile female
 
Cherry Bansal, Nirupma Lal, Ajesh Goyal, AN Srivastava
Assistant Professor, Department of Pathology,
Era’s Lucknow Medical College and Hospital,
Lucknow-226003.
India.



Corresponding Author
: Dr Cherry Bansal,
Assistant Professor, Department of Pathology,
Era’s Lucknow Medical College and Hospital,
Lucknow-226003.
India.
Email: drcherrybansal@gmail.com,
Fax- +91-5222407824


History : Received - 08-05-2011 Accepted - 24-07-2011 Published Online -  07-Sep-2011
DOI : http://dx.doi.org/10.7713/ijms.2012.0020


Abstract

A 26 year old woman with history of primary infertility presented with abdominal mass. Diagnostic investigations were suggestive of an ovarian malignancy. Postoperatively, coexisting tuberculosis and endometriosis were diagnosed on the basis of histopathology. Tuberculosis was confirmed by polymerase chain reaction and culture growth for Mycobacterium tuberculosis. The patient was given complete treatment for both the diseases. Symptomatically, the patient has improved but has not conceived spontaneously after nine months of surgery. This case is the first documentation of coexisting tuberculosis of endometrium, fallopian tube and ovary with tuberculosis also present in the endometriotic foci. Fecundity of the female declines to a greater degree due to presence of dual pathologies which affect fertilisation by independent different pathogenic mechanisms.

Keywords : Infertility; Mycobacterium tuberculosis; granulomas; urogenital tuberculosis.

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