Kumari Rajesh, Vaishya Vandana, Khanna Gaurav, Chauhan Mukul, Sharma Jai Bhagwan, Kriplani Alka
Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India.
Department of Pathology, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India.
Natl Med J India. 2018 May-Jun;31(3):149-150. doi: 10.4103/0970-258X.255757.
Discharge per vaginum is a common symptom of a variety of gynaecological diseases. Among post-menopausal women, atrophic vaginitis, cervicitis and cervical carcinoma are common causes of this symptom. We present a 64-year-old woman who had foul-smelling discharge per vaginum for the past 1 year. Per speculum examination revealed an unhealthy-looking cervix and white discharge. On bi-manual examination, the cervix was flush with the vagina. There was no obvious growth felt, the exact uterine size could not be ascertained and the finger was stained with thick discharge. A biopsy of the cervix showed epithelioid cell granulomas and a diagnosis of tuberculosis was made. The patient responded to antitubercular therapy. Tuberculosis of the cervix may be a rare cause of foul- smelling discharge per vaginum in post-menopausal women but there should be a high index of suspicion of this condition, especially in areas where tuberculosis is common. We report this post-menopausal woman owing to the rarity of tuberculosis of the cervix mimicking a gynaecological malignancy.
阴道排液是多种妇科疾病的常见症状。在绝经后女性中，萎缩性阴道炎、宫颈炎和宫颈癌是导致这种症状的常见原因。我们报告一位64岁女性，她在过去1年里一直有恶臭的阴道排液。通过阴道窥器检查发现宫颈外观不健康且有白色分泌物。双合诊检查时，宫颈与阴道齐平。未触及明显肿物，子宫确切大小无法确定，手指被浓稠分泌物染色。宫颈活检显示上皮样细胞肉芽肿，确诊为结核病。患者对抗结核治疗有反应。宫颈结核可能是绝经后女性阴道恶臭排液的罕见原因，但对此病应高度怀疑，尤其是在结核病常见的地区。我们报告这位绝经后女性是因为宫颈结核酷似妇科恶性肿瘤的情况很罕见。
