What are Pelvic Tuberculosis? and different Types of pelvic tuberculosis?

Posted by ananyamruga on December 19th, 2019

Pelvic tuberculosis is an infection caused by the Mycobacterium bovis (5%) or Mycobacterium tuberculosis (95%). The symptoms of pelvic tuberculosis are difficult to diagnose and the patients are asymptomatic for 10 to 20 years. Pelvic tuberculosis may also create an ascites, adnexal mass and thus can be difficult to distinguish from other causes of pelvic inflammatory disease (PID).

The mode of spread is lymphatic or hematogenous and rarely from direct contiguity with affected genital organs or intra-abdominal organ. The fallopian tubes are the first most affected genital organ followed by endometrium and ovary leading to a variety of clinical presentations such as menstrual irregularity, vaginal bleeding, pelvic pain, and infertility.

There are different varieties of pelvic tuberculosis, they are:

Minimal Pelvic Tuberculosis

Minimal Pelvic Tuberculosis is a nonsymptomless and the examination of pelvic is failed to reveal evidence of enlargement or tube ovarian masses. This type of symptom is described as unsuspected or latent. The enlargement of these tubes cannot be examined, they are involved in the tuberculous process and this involvement is side sided.

In Advanced Pelvic Tuberculosis

Palpable masses are present in the bacteriologic, microscopic examination of uterine secretions, or adnexa, and endometrium reveals tuberculosis. These masses are presumed to be tuberculous. Sometimes, they infected with colon bacilli, gonococci, or streptococci.

There is an intermediate stage between minimal and advanced disease. This may be manifest by thickening in the tubes and induration. But this cannot be examined by bimanual examination alone.

Tuberculosis diagnosis is a difficult thing. This is due to lack of diagnostic tests with a good positive predictive and negative predictive value and a wide variety of clinical presentation.

Diagnosis still remains subjective and is finished sometimes at the time of laparoscopy done for evaluating chronic pelvic pain or infertility. Pathognomic sign of look of tiny tubercles everywhere the Pathognomic that represent caseating granulomas is seen rarely. Different findings include a tube-ovarian mass appearance with varied degree of intra-pelvic adhesions, bead-like growths or rigid lead-pipe look of fallopian tubes, hydrosalpinx and military white tubercles on the serious of the uterus.

For more details visit, https://www.swcic.com/treatments/pelvic-tuberculosis