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Female genital tuberculosis: hysterosalpingographic appearances.
G B Chavhan1, P Hira, K Rathod
1Department of Radiology, King Edward Memorial Hospital, Parel, Mumbai 400-012, India.
The British Journal of Radiology
|March 11, 2004
Summary
Genital tuberculosis is a key cause of infertility, often diagnosed with hysterosalpingography (HSG). This review illustrates diverse HSG findings in 37 confirmed female genital tuberculosis cases, aiding diagnosis.
Area of Science:
- Radiology
- Gynecology
- Infectious Diseases
Background:
- Female genital tuberculosis is a significant cause of infertility, particularly in developing nations.
- Hysterosalpingography (HSG) is the primary imaging modality for evaluating infertility and suspected genital tuberculosis.
- The varied radiological appearances of genital tuberculosis on HSG can pose diagnostic challenges.
Purpose of the Study:
- To illustrate the diverse appearances of female genital tuberculosis on hysterosalpingography (HSG).
- To correlate the radiological findings with pathological evidence of tuberculosis.
- To enhance the diagnostic accuracy of HSG in identifying genital tuberculosis.
Main Methods:
- Retrospective review of 37 cases with confirmed female genital tuberculosis.
- Analysis of hysterosalpingography (HSG) findings in these cases.
- Correlation of imaging features with histopathological diagnoses.
Main Results:
- Genital tuberculosis was identified in 6.3% of all HSGs and 7.5% of infertility workups.
- HSG revealed various characteristic and atypical patterns in proven cases of genital tuberculosis.
- Pictorial examples of these diverse HSG findings are presented.
Conclusions:
- Hysterosalpingography (HSG) plays a crucial role in the initial diagnosis of female genital tuberculosis.
- Familiarity with the spectrum of HSG appearances is essential for accurate diagnosis and management.
- Radiopathological correlation aids in understanding the imaging manifestations of genital tuberculosis.