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结核性输卵管炎:一例报告

Tuberculous salpingitis: a case report.

作者信息

Rajaratnam Annie, D'Cunha Prema, Furtado Zevita, Fernandes Hilda

机构信息

Assistant Professor, Department of Obstetrics & Gynaecology, Father Muller Medical College , Mangalore- 575002, Karnataka, India .

出版信息

J Clin Diagn Res. 2013 Jun;7(6):1186-8. doi: 10.7860/JCDR/2013/4834.3032. Epub 2013 Jun 1.

Abstract

Tuberculosis (TB) of the genital tract commonly occurs secondary to a primary lesion. The mode of spread is via the lymphatics, the haematogenous route or less commonly by a peritoneal spread. The fallopian tubes are the first targets, followed by the pelvic organs. Isolated cases of TB which occur in a unilateral fallopian tube are rare, particularly with it as a primary site. The aim of this study was to report a rare case of TB of the left fallopian tube in a post menopausal lady with no positive history, clinical or laboratory finding to suggest it to be a secondary focus. As the pre-operative diagnosis was that of a right ovarian neoplasm, the patient underwent staging laparotomy. TB of the left fallopian tube was diagnosed, as there were numerous typical granulomata throughout the fallopian tube.

摘要

生殖道结核通常继发于原发性病变。传播途径为淋巴管、血行途径,较少见的是经腹膜播散。输卵管是首先受累的部位,其次是盆腔器官。孤立性输卵管结核病例罕见,尤其是以输卵管为原发部位的情况。本研究的目的是报告一例绝经后女性左侧输卵管结核的罕见病例,该患者无阳性病史、临床或实验室检查结果提示其为继发性病灶。由于术前诊断为右侧卵巢肿瘤,患者接受了分期剖腹手术。术中诊断为左侧输卵管结核,因为输卵管内有大量典型的肉芽肿。

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Tuberculous salpingitis: a case report.结核性输卵管炎:一例报告
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本文引用的文献

4
Fallopian tube disease in the nonpregnant patient.非妊娠患者的输卵管疾病。
Radiographics. 2011 Mar-Apr;31(2):527-48. doi: 10.1148/rg.312105090.
5
Primary Unilateral Tuberculosis of the Fallopian Tube.原发性单侧输卵管结核
Proc R Soc Med. 1908;1(Obstet Gynaecol Sect):177-87. doi: 10.1177/003591570800100742.
6
Postmenopausal tuberculosis endometritis.绝经后结核性子宫内膜炎
Infect Dis Obstet Gynecol. 2007;2007:27028. doi: 10.1155/2007/27028. Epub 2007 May 8.
8
Female genital tuberculosis and infertility.女性生殖器结核与不孕
Int J Gynaecol Obstet. 2001 Dec;75(3):269-72. doi: 10.1016/s0020-7292(01)00494-5.

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