Pelvic tuberculosis misdiagnosed as an adnexial mass: A case report

Objective & Hypothesis:Objective: To present a case of rare gyneacologic problem; pelvic tuberculosis operated initially as an adnexial mass Material and method: A patient diagnosed to be pelvic tuberculosis, who was operated with a clinical diagnosis of malignant adnexial mass.

📊

Key Findings & Data:Results: The patient was operated with the clinical diagnosis of malignant adnexial mass, but frozen section revealed a chronic granulamatous inflamation ( tuberculosis ) of the pelvis and abdomen.

💡

Conclusion & Impact:The patient was then given antituberculostatic therapy, now is free of clinical symptoms and disease free for the last six months.

🔬Design:Makale

📍Scope:Comprehensive Sample

⚙️Variables:Adneksa hastalıkları · Ergen · Tüberküloz

Abstract

Objective: To present a case of rare gyneacologic problem; pelvic tuberculosis operated initially as an adnexial mass Material and method: A patient diagnosed to be pelvic tuberculosis, who was operated with a clinical diagnosis of malignant adnexial mass. Results: The patient was operated with the clinical diagnosis of malignant adnexial mass, but frozen section revealed a chronic granulamatous inflamation ( tuberculosis ) of the pelvis and abdomen. The patient was then given antituberculostatic therapy, now is free of clinical symptoms and disease free for the last six months.

Özet

Amaç: Adneksiyal kitle nedeniyle laparatomi yapılan hastada, nadir görülen pelvik tüberküloz tanısı ve vakanın takdimi. Materyal ve metod: Adneksiyal kitle ön tanısı ile öpere edilen ve patolojik tanısı kronik granulomatöz iltihap ( tüberküloz ) olarak verilen bir vaka. Sonuçlar: Hasta adneksiyal kitle nedeniyle öpere edilmiş ve operasyon sırasında yapılan frozen inceleme sonucu kronik granulomatöz iltihap (tüberküloz) gelmiştir. Ameliyat sonrası dönemde anti-tüberküloz tedavi başlanan hastanın klinik bulguları ve şikayetleri hızla gerilemiş olup, hasta 6 aydır kontrol altındadır.

Keywords

Adneksa hastalıkları Ergen Tüberküloz Antitüberküler ajanlar Tedavi sonucu Ameliyat sonrası dönem Tanı hataları Adnexal Diseases Adolescent Tuberculosis Antitubercular Agents Treatment Outcome Postoperative Period Diagnostic Errors

🔖

Cite This Article

Kars, B., Kalender, H. S., Karşıdağ, Y. K., Büyükbayrak, E. E., Turan, M. C., Ünal, O. (2009). Pelvic tuberculosis misdiagnosed as an adnexial mass: A case report. Zeynep Kamil Tıp Bülteni, Cilt: 40 Sayı: 3, 143–146. https://doi.org/10.16948/zktb.90020

📄 Full Text PDF Viewer

Open in New Tab ↗

↗New Tab

📄

PDF görüntüleyici hazırlanıyor...

References (4)

Anderson JR: Genital tuberculosis. In Novaks Textbook of Gynecology. Jones HW, Wentez AC. Burnett LS (Eds). Tenth ed. Williams and Wilkins, Baltimore, 1988, p: 557- 69 2.Netter FH: Disease of fallopian tubes.In Netter FH. (ed) The Ciba Collection of Medical Illustrations, Vol 2, Reproductive System. Ciba Pharmaceutical Company, USA, 1988, p:188- 90 3.Hems ell DL, Wendel GD, Mickal A: Sexually transmitted disease and pelvic infections. In Pernall ML. (ed). Current Obstetric and Gynecologic Diagnosis and Treatment. 7th Ed. Appleton and Lange, Lebanon, 1991, p:796- 7 4.Aka N, Vural EZ,: Evaluation of patients with active pulmonary tuberculosis for genital involvement. J Obstet Gynaecol Res 1997, 23: 337-40 5.Kolachevskaia EN, Antipova NB, Rzhavskov Mlu: Clinical course and diagnosis of female genital tuberculosis. Probl Tuberk 1994, 6: 26-9 6.Falk V, Ludviksson K, Agren G: Genital tuberculosis in women. Analysis of 187 newly diagnosed cases from 47 Swedish hospitals during the ten year period 1968 to 1977. Am J Obstet Gynecol 1980, 138: 933- 51 7.Ansan K: Genital tüberküloz. Ansan K. (Ed.) Kadın hastalıkları. Çeltüt Matbaacılık, İstanbul, 1983, s: 453- 8 8.Agarwal J, Grupta JK: Female genital tuberculosis; a retrospective clinicopathologic study at 501 cases. Indian JPathol Microbiol 1993, 36: 389-97 9.Yıldırım M: Pelvik tüberküloz. Yıldırım M. (Ed.) Klinik jinekoloji. Türkiye Klinikleri Yayınevi, Ankara, 1992, s: 324- 8 10.Paula A. Hillard. Benign isease of the Female reproductive Tract: Symptoms and signs. In: J.S. Berek., Novak'sGynecology 12. ed. Williams and Wilkins, 1996, 331-397
C.Hillary Buckley. Endometrial iflammation. In Obstetrical & Gynecological pathology, 4th. Ed,edited by H.Fox and M Well s, Churchill Livingstone, 1998, 405-420
Sutherland AM: The changing pattern of tuberculosis of the female genital tract. A Thirty year survey. Arch Gynecol 1983, 234: 95- 101 13.Köse G, Köse AD, Tuğrul AS, Demir HF, Çağlayan B: Pelvik tüberküloz. 52 aktif tüberküloz olgusunda endometrial tutulum oranları. Zeynep Kamil Tıp Bülteni Jinekoloji Obstetrik Pediatri Klinikleri 1997, 29: 56- 61 14.Amenore. in Klinik Jinekolojik Endokrinoloji ve infertilite. Speroff L, Glass RH, Kase NG (Eds); 5. Baskı, çeviri: Nobel Tıp Kitabevi 1996, s: 418 15.Waltez A, Koenigsberg M: Ultrasonographic demonstration of pelvic tuberculosis. J Ultrasound Med 1983, 2:139-40 16.Siegler AM: Hysterosalphingography. Fertil Steril 1983, 40:139- 58 17.Rao GJ, Ravi BS, Cheriparambil KM, Pachter B, Pujol F: Abdominal tuberculosis or ovarian carcinoma management dilemma associated with an elevated CA-125 level. Medscape Women's Health 1996, 1: 2 18.NovakER, Woodruff JD: Novak's Gynecologic and Obstetric Pathology, ed. 8, Philadelphia, WB Saunders, 1979, p: 328
Anderson JR: Genital tuberculosis. In Novaks Textbook of Gynecology. Jones HW, Wentez AC. Burnett LS (Eds). Tenth ed. Williams and Wilkins, Baltimore, 1988, p: 557- 69 2.Netter FH: Disease of fallopian tubes.In Netter FH. (ed) The Ciba Collection of Medical Illustrations, Vol 2, Reproductive System. Ciba Pharmaceutical Company, USA, 1988, p:188- 90 3.Hems ell DL, Wendel GD, Mickal A: Sexually transmitted disease and pelvic infections. In Pernall ML. (ed). Current Obstetric and Gynecologic Diagnosis and Treatment. 7th Ed. Appleton and Lange, Lebanon, 1991, p:796- 7 4.Aka N, Vural EZ,: Evaluation of patients with active pulmonary tuberculosis for genital involvement. J Obstet Gynaecol Res 1997, 23: 337-40 5.Kolachevskaia EN, Antipova NB, Rzhavskov Mlu: Clinical course and diagnosis of female genital tuberculosis. Probl Tuberk 1994, 6: 26-9 6.Falk V, Ludviksson K, Agren G: Genital tuberculosis in women. Analysis of 187 newly diagnosed cases from 47 Swedish hospitals during the ten year period 1968 to 1977. Am J Obstet Gynecol 1980, 138: 933- 51 7.Ansan K: Genital tüberküloz. Ansan K. (Ed.) Kadın hastalıkları. Çeltüt Matbaacılık, İstanbul, 1983, s: 453- 8 8.Agarwal J, Grupta JK: Female genital tuberculosis; a retrospective clinicopathologic study at 501 cases. Indian JPathol Microbiol 1993, 36: 389-97 9.Yıldırım M: Pelvik tüberküloz. Yıldırım M. (Ed.) Klinik jinekoloji. Türkiye Klinikleri Yayınevi, Ankara, 1992, s: 324- 8 10.Paula A. Hillard. Benign isease of the Female reproductive Tract: Symptoms and signs. In: J.S. Berek., Novak'sGynecology 12. ed. Williams and Wilkins, 1996, 331-397