Presentation of Tuberculosis in Gynecology

Female genital tract tuberculosis is a rare disease, the exact incidence is not accurately known as it is under reported due to asymptomatic cases and lack of reliable confirmatory investigations. Observational study held at Elwiya maternity teaching hospital, from the beginning of June 2012 until the beginning of October 2014. During this period, nine patients diagnosed as cases of female genital tract tuberculosis. Patients admitted as emergency or elective cases, symptoms at presentation were fever, vomiting, loss of weight, loss of appetite, mild abdominal pain, acute abdomen, abdominal mass, ascites, ovarian cyst with elevated CA-125 serum levels, infertility, infected cesarean section wound. All these nine cases were diagnosed and followed up for one year. The diagnostic dilemma arises due to varied clinical presentation so clinical suspicion with detailed general physical examination should always be there especially in high prevalence areas of tuberculosis.