Genital tuberculosis masquerading as hematometra in an adolescent girl with an acute abdomen: A case report.

Poojan Dogra Marwaha, Nisha Malik, Bhavna Bhavna, Asmita Kaundal, Sushruti Kaushal
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Abstract

Childhood and adolescent TB is a silent epidemic. The occurrence of genital tuberculosis (TB) in adolescent girls is rare. This condition is easily misdiagnosed owing to its non-specific clinical presentation that mimics different gynecological or non-gynecological pathologies. We present an unusual case of genital TB in an 11-year-old girl with an acute abdomen, where the clinical and radiological findings contributed to the diagnostic confusion with hematometra. This case highlights a rare case of genital TB in a teenage girl, and its clinical and diagnostic complexities, emphasizing the importance of considering TB as a differential in all cases of pelvic masses in high-burden settings. This case also exemplifies the need for a multidisciplinary approach to facilitate timely diagnosis and treatment to prevent the devastating effects of genital TB on the reproductive health of young girls.

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一名患有急腹症的少女,其生殖器结核被伪装成血子宫:病例报告。
儿童和青少年结核病是一种无声的流行病。少女生殖器结核病(TB)很少见。这种疾病很容易被误诊,因为它的临床表现没有特异性,会模仿不同的妇科或非妇科疾病。我们介绍了一例不寻常的生殖器结核病例,患者是一名 11 岁女孩,患有急腹症,其临床和放射学检查结果导致了与血子宫的诊断混淆。本病例突出了少女生殖器结核的罕见病例及其临床和诊断的复杂性,强调了在高负担环境下将结核病作为盆腔肿块所有病例的鉴别诊断的重要性。该病例还说明,需要采用多学科方法促进及时诊断和治疗,以防止生殖器结核对少女生殖健康造成破坏性影响。
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