Diagnosis of pelvic tuberculosis in a patient with tubal infertility

作者：Crochet John R^*; Hawkins Kristina C; Holland David P; Copland Susannah D

来源：Fertility and Sterility, 2011, 95(1): 289.e17.

DOI：10.1016/j.fertnstert.2010.06.012

• Pelvic
• genital
• tuberculosis
• diagnosis
• laparoscopy
• hysteroscopy
• hysterosalpingogram

Objective: To describe a case of pelvic tuberculosis presenting as primary infertility and discuss the various diagnostic modalities.
Design: Case report.
Setting: Academic reproductive medicine center.
Patient(s): A 28-year-old nulliparous Indian immigrant presenting with primary infertility and known tubal pathology.
Intervention(s): Laparoscopic bilateral salpingectomy and adhesiolysis and diagnostic endometrial sampling.
Main Outcome Measrure(s): Acid-fast bacilli were obtained on polymerase chain reaction and culture of endometrial sample.
Result(s): The patient was diagnosed with pelvic tuberculosis and treated with a directly observed multidrug regimen.
Conclusion(s): Tuberculosis is an important cause of gynecologic morbidity and should be considered in the appropriate patients. (Fertil Steril (R) 2011;95:289.e17-e20.

• 出版日期2011-1