[Diagnostic difficulties in genitourinary tract tuberculosis in a 28-year old woman].

The diagnostic difficulties are presented in a case of genitourinary tract tuberculosis in a 28-year-old woman. Sarcoid granulation tissue without the features of caseous necrosis which was found during histopathological examination of the tissues taken from the patient during laparotomy, suggested genitourinary tract sarcoidosis. The whole clinical picture together with the history data and laboratory investigations, and, in the first place, positive culture of the secretion from enterocutaneous fistula for Mycobacterium tuberculosis made possible the diagnosis of genitourinary tract tuberculosis. Antituberculous treatment was instituted, obtaining a significant improvement of the general and local condition.