Coexisting genital tuberculosis and endometriosis presenting as abdominal mass in an infertile woman: a report of a rare case
Case report
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This case report details a rare instance of coexisting genital tuberculosis and endometriosis in an infertile woman, diagnosed via laparotomy and impacting fertility.
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Abstract
OBJECTIVE: To document a rare case of coexisting endometriosis and genital tuberculosis.
DESIGN: Case Report.
SETTING: Tertiary-care center.
PATIENT(S): A 24-year-old infertile woman presented with atypical clinical and radiological features that were suggestive of an ovarian malignancy.
INTERVENTION(S): Exploratory laparotomy with left-sided salpingo-oophorectomy and right-sided ovarian cystectomy. Coexisting endometriosis and tuberculosis were diagnosed postoperatively on the basis of histopathology with positive polymerase chain reaction and culture for Mycobacterium tuberculosis. The patient was treated with antitubercular drugs and GnRH agonist for 6 months postoperatively.
MAIN OUTCOME MEASURE(S): Impact of dual pathology of genital tuberculosis and endometriosis of fertility.
RESULT(S): The patient improved symptomatically but declined infertility treatment because of financial crisis. The patient did not conceive spontaneously and is currently disease free, 1 year postoperatively.
CONCLUSION(S): Coexisting endometriosis and tuberculosis simultaneously affecting tubes and ovaries is rare. Such combined pathology has a greater impact on fertility and may lead to a dilemma in diagnosis and management because of the unusual clinical picture. Early diagnosis by surgical exploration, as well as adequate treatment, may improve fertility.
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References (3)
Cited by (7)
- Acute abdomen after hysterosalpingography-flare up of subclinical abdominal Kochs or endometriosis, a diagnostic dilemma 2023
- Double trouble: pelvic pain associated with a dual presentation of endometriosis and granulomatous peritonitis 2021
- Therapeutic Challenge in Coexisting Infertility Pathologies; A Rare Case Report of Concurrence of Endometriosis, Adenomyosis and Tuberculosis 2018
- Coexisting pelvic tuberculosis and endometriosis presenting in an infertile woman: Report of a rare case 2014
- Ovarian endometriosis with co-existing granulomatous inflammation-a rare association 2012
- Coexisting peritoneal tuberculosis and endometriosis masquerading as advanced stage ovarian cancer in a postpartum woman: a case report and review of literature 2011
- Differential diagnosis of gynecologic organ-related diseases in women presenting with ascites 2008
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- europepmc
- last seen: 2026-10-14T06:08:39.101224+00:00
- openalex
- last seen: 2026-06-04T00:00:01.174412+00:00
- pubmed
- last seen: 2026-10-08T21:04:47.165929+00:00
License: CC0
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