RCOG World Congress 2023

Female genital tuberculosis and laparoscopic surprises :Does the eye see what the mind knows?

Author-Dr. Mrinmayi S. Dharmadhikari (M.S,DNB,MRCOG), Consultant, Ashvini Hospital, Mumbai(410206), India

Introduction

Female genital tuberculosis (FGTB) is a chronic disease with atypical symptoms.Diagnosis poses a challenge with no single test available for accurate diagnosis.Prevalence rates are as high as 3–26% in low and middle income countries (LMICs)like India.

Objective -To highlight

the wide spectrum of presentation of genital tuberculosis
role of hysterolaparoscopy in diagnosis and management.
Method
- Four patients of subfertility ultimately diagnosed as cases of genital TB are presented here.
- Each case had a varied presentation -
Patient A:Chronic pelvic pain

Patient B:Subfertility with hysterosalpingography (HSG) suggestive of bilateral tubal block and hydrosalpinges

Patient C:Subfertility with a narrow T-shaped uterine cavity on HSG

Patient D:Unexplained infertility.
- All were offered hystero-laparoscopy for the above indications at our medical center in Mumbai, India.

RCOG World Congress 2023

Laparoscopy in Genital Tuberculosis - Does the eye see what the mind knows?

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