Rajaratnam Annie, D'Cunha Prema, Furtado Zevita, Fernandes Hilda
Assistant Professor, Department of Obstetrics & Gynaecology, Father Muller Medical College , Mangalore- 575002, Karnataka, India .
J Clin Diagn Res. 2013 Jun;7(6):1186-8. doi: 10.7860/JCDR/2013/4834.3032. Epub 2013 Jun 1.
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.
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。
