Diagnostic Dilemma in a Case of Genital Tuberculosis.

ABSTRACT

Extrapulmonary tuberculosis accounts for a significant proportion of tuberculosis cases worldwide. Nevertheless, the diagnosis is often delayed or under dilemma or even missed due to insidious clinical presentation and unpredictable sensitivity of diagnostic tests. Here we describe a case of a 30-year-old woman of secondary amenorrhoea who was evaluated and posted for diagnostic hysterolaparoscopy and endometrial biopsy. The tubercular lesions identified on laparoscopy and endometrial tissue sampled was sent for TB-PCR, AFB culture and histopathology. TB-PCR and AFB culture reports were negative for tuberculosis, while her histopathology report was positive. She was started on category 1 anti-tubercular therapy. Her further course was uneventful and she started having normal menstrual cycles 9 months later.