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    Pelvic Tuberculosis

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    Amalia Zulfa Amanda
    Pelvic tuberculosis is caused by Mycobacterium tuberculosis or M. bovis spreading hematogenously from a primary lung infection to the fallopian tubes. It commonly presents as infertility or abnormal uterine bleeding. Diagnosis involves endometrial biopsy showing giant cells, granulomas, or caseous necrosis. Pelvic tuberculosis is most common in women aged 20-40 and can mimic cervical cancer or other gynecological malignancies.

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    Pelvic Tuberculosis

    Uploaded by

    Amalia Zulfa Amanda
    329 views11 pages
    Pelvic tuberculosis is caused by Mycobacterium tuberculosis or M. bovis spreading hematogenously from a primary lung infection to the fallopian tubes. It commonly presents as infertility or abnormal uterine bleeding. Diagnosis involves endometrial biopsy showing giant cells, granulomas, or caseous necrosis. Pelvic tuberculosis is most common in women aged 20-40 and can mimic cervical cancer or other gynecological malignancies.

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    Pelvic tuberculosis is caused by Mycobacterium tuberculosis or M. bovis spreading hematogenously from a primary lung infection to the fallopian tubes. It commonly presents as infertility or abnormal uterine bleeding. Diagnosis involves endometrial biopsy showing giant cells, granulomas, or caseous necrosis. Pelvic tuberculosis is most common in women aged 20-40 and can mimic cervical cancer or other gynecological malignancies.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    329 views11 pages

    Pelvic Tuberculosis

    Uploaded by

    Amalia Zulfa Amanda
    Pelvic tuberculosis is caused by Mycobacterium tuberculosis or M. bovis spreading hematogenously from a primary lung infection to the fallopian tubes. It commonly presents as infertility or abnormal uterine bleeding. Diagnosis involves endometrial biopsy showing giant cells, granulomas, or caseous necrosis. Pelvic tuberculosis is most common in women aged 20-40 and can mimic cervical cancer or other gynecological malignancies.

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    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    of 11

    Pelvic Tuberculosis

    Pelvic Tuberculosis
    Tuberculosis of the genital tract chronic salphingitis, chronic endometritis
    frequent cause of chronic PID and infertility (Asia, Middle East, Latin America) occur in post menopausal women 10% of the time

    Pelvic Tuberculosis
    caused by by either Mycobacterium tuberculosis or M. Bovis LUNGS primary site of infection
    spread hematogenously oviduct - Oviduct primary and predominant site of pelvic tuberculosis

    Pelvic Tuberculosis
    predominant presentation infertility and abnormal uterine bleeding
    mild to moderate chronic abdominal and pelvic pain occur in 35% of women
    pelvic examination are normal in approximately 50% of cases

    Pelvic Tuberculosis
    Diagnosis endometrial biopsy
    findings: Giant cells, granulomas, caseous necrosis

    tobacco pouch appearance

    Source: Comprehensive Gynecology by Katz

    Pelvic Tuberculosis
    Pelvic TB common in 20-40 years of age Common symptoms:
    pelvic pain, menstrual irregularity and infertility

    Ulcerative or exophytic representing primary malignancy Source: CERVICAL TUBERCULOSIS: AN IMPORTANT DIFFERENTIAL DIAGNOSIS OF CANCER CERVIX Case Report Ind. J Tub., 2003, 50, by Anil P. Sakhare1, Arun R. Mahale2 and Lata T. Dumne3

    Pelvic Tuberculosis
    Pelvic tuberculosis (PT) infection is usually caused by reactivation of organisms from systemic distribution of Mycobacterium tuberculosis during primary infection. Direct transmission between sexual partners has been documented although very rare.

    typically presents with pelvic pain, infertility, poor general health or menstrual disturbances less common presentations included an adnexal mass, ascites or both CA 125 - tumor-associated antigen, is a nonspecific marker of ovarian; elevated in a variety of conditions:
    Infections Tuberculosis endometriosis Meigs syndrome, Menstruation ovarian hyperstimulation non-gynaecologic conditions like active hepatitis, acute pancreatitis, pericarditis, pneumonia

    diagnosis of PT is confirmed by histological examination of frozen or paraffin-embedded sections, positive acid fast stain and positive culture of endometrial biopsy tissue
    *epitheloid cell granuloma with or without Langerhans giant cell

    Hysteroscopy Laparoscopy Abdominal Paracentesis using the PCR

    Source: Pelvic Tuberculosis: The Great Simulator of Gynaecologic Malignancies Carla Pina*, Marclia Teixeira*, Diana Cruz, Eduardo Ferreira, Mari Mesquita, Ana Torgal* *Departamento de Ginecologia, Centro Hospitalar Tmega e Sousa, EPE, Penafiel; Departamento de Medicina Interna, Centro Hospitalar Tmega e Sousa, EPE, Penafiel; Laboratrio de Anatomia Patolgica Dr. Eduardo Ferreira, Porto

    Pelvic Tuberculosis
    Genitourinary Tuberculosis accounts for about 15% of all extra pulmonary TB.
    Hematogenous spread primary infection

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