Coexisting genital tuberculosis and endometriosis presenting as abdominal mass in an infertile woman: a report of a rare case.

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.