Abstract 6.  (1)19
 

 

 

Genital Tuberculosis: An Unusual but Definite Threat to Reproductive Health in the Tropics.

 

O. A. Olasode1, S. S. Sule1, J. O. Okunola2, B. J. Olasode1

 

1Obafemi Awolowo University of Teaching Hospital, lle lfe

2 Toyosi clinic, lle lfe

 

Abstract: A case is reported of a 35years old woman who presented at a sexually transmitted disease clinic with history of altered menstrual pattern, abdominal pain and secondary infertility that attributed her infertility to supposed sexually transmitted disease. Palpation of her abdomen showed a non tender firm right iliac mass. At exploratory laparatomy, a right tubo-ovarian mass was found containing cheesy caseous material. There was minimal ascites and the fright fallopian tube was beaded in appearance. A right salpingectomy was carried out and the tissue resected was sent for histology. Based on the histological report of tuberculous salpinigitis, the patient was placed on anti-tuberculous regime suing direct observation therapy with rapid improvement in symptoms. Secondary infertility in a young woman in resource limited settings should raise suspicion of treatable causes of infertility including genital tuberculosis which may need histological confirmation.

Key words: Tuberculosis, Salpingitis, Infertility, Reproduction Health.

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