Tuberculosis presenting as a pelvis mass

Tuberculosis is one of the world's most important communicable diseases. Although it may involve the genital tract and frequently results in infertility, the presentation of the disease as a pelvic mass is uncommon. While the incidence of tuberculosis has declined in the United States, genital tuberculosis should be considered in patients presenting with adnexal mass and a history of infertility. One such case is presented here, and diagnosis and treatment are described.