Diagnosis of pelvic tuberculosis in a patient with tubal infertility.

OBJECTIVE

To describe a case of pelvic tuberculosis presenting as primary infertility and discuss the various diagnostic modalities.

DESIGN

Case report.

SETTING

Academic reproductive medicine center.

PATIENT(S): A 28-year-old nulliparous Indian immigrant presenting with primary infertility and known tubal pathology.

INTERVENTION(S): Laparoscopic bilateral salpingectomy and adhesiolysis and diagnostic endometrial sampling.

MAIN OUTCOME MEASURE(S): Acid-fast bacilli were obtained on polymerase chain reaction and culture of endometrial sample.

RESULT(S): The patient was diagnosed with pelvic tuberculosis and treated with a directly observed multidrug regimen.

CONCLUSION(S): Tuberculosis is an important cause of gynecologic morbidity and should be considered in the appropriate patients.