Diagnosis of pelvic tuberculosis in a patient with tubal infertility

Abstract

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 measure(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.