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Pelvic tuberculosis.

O F Saracoglu1, T Mungan, F Tanzer

  • 1Dr. Zekai Tahir Burak, Maternity Hospital, Ankara, Turkey.

International Journal of Gynaecology and Obstetrics: the Official Organ of the International Federation of Gynaecology and Obstetrics
|February 1, 1992
PubMed
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Pelvic tuberculosis often presents with infertility and pain, frequently affecting women over 40. Hysterosalpingography is crucial for diagnosing blocked tubes, a common sign of this infection.

Area of Science:

  • Gynecology
  • Infectious Diseases
  • Radiology

Background:

  • Pelvic tuberculosis (PTB) is a significant cause of female infertility and pelvic pain.
  • Diagnosis can be challenging due to non-specific symptoms and normal initial investigations.
  • Understanding the clinical presentation and diagnostic utility of imaging is vital.

Purpose of the Study:

  • To analyze the clinical characteristics and diagnostic methods of pelvic tuberculosis.
  • To evaluate the role of hysterosalpingography in diagnosing PTB.
  • To report outcomes of patients with PTB.

Main Methods:

  • Retrospective analysis of 72 patients diagnosed with pelvic tuberculosis between 1979 and 1989.
  • Review of patient complaints, medical history, physical examination findings, chest X-rays, and hysterosalpingograms.

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  • Histopathological examination was used for definitive diagnosis.

    • Main Results:

    • The most common symptoms were infertility (47.2%), pelvic pain (32%), and abnormal uterine bleeding (11%).
    • A significant proportion (29%) were over 40 years old.
    • Hysterosalpingography revealed blocked tubes in 32 of 34 patients; the tubes were the most common site of infection.

    Conclusions:

    • Pelvic tuberculosis presents insidiously, often mimicking other gynecological conditions.
    • Hysterosalpingography is a valuable diagnostic tool for identifying tubal involvement in PTB.
    • Pregnancy rates are low, even after treatment, highlighting the disease's impact.