Fallopian tube tuberculosis –
Correct Answer: Most common type of genital TB
Description: Ans. is 'a > c' i.e., Most common type of genital TB > Is asymptomatic Genital tuberculosiso Almost always a secondary infection. Most common primary site is lungs (50%) fib lymph nodes (40%).o Most common route of spread is through blood.o Commonly affects sexually active age group (20-30yrs), most commonly at 28 yrs of age.o Most common organ infected is fallopian tubes (90-100%) f/b uterus (50-70%).o Fallopian tubes almost always are the first to be infected & mostly presenting as endosalpingitis.o Both tubes are usually affected.o In fallopian tubes usually, the ampullary region shows the earliest and most extensive changes,o In uterus, cornu is the most common site to be affected.Signs and symptomso Many patients may be asymptomatico Infertility (most common)o Menstrual disorders (menorrhagea > secondary amenorrhea)o Acute or chronic paino Blood stained vaginal discharge, post coital bleeding, leucorrhoeao Fixed abdominal mass / pelvic masso Doughy feel of the abdomen (suggestive of peritonitis)Complicationso Painful ulcerso Fistula formationo Asherman's syndromeo Pyosalpinx/Hydrosalpinxo Repeated PIDHysterosalpingographic findingso As such HSG is contraindicated in genital TB. But when done accidentally following features are important to noteo Lead pipe appearance of the tubeso Beaded appearance of the tubeo Tobacco pouch appearance of the fimbria! end of the tubeo Golf club tubeo Hydrosalpinxo Calcification of the tubeo Jagged fluffy1 tubal outlineo Intravasation of dyeo Cornual blockDiagnosiso E ndometrial biopsy is the investigation of choice.o Sample is collected either 1-2 days before or 12 hrs after the onset of menstruation,o In unmarried girls blood can be collected within 12 hrs of onset of menstruation.
Category:
Gynaecology & Obstetrics
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