Diagnosis of pelvic tuberculosis in a patient with tubal infertility.

Objective To describe a case of pelvic tuberculosis presenting as primary infertility and discuss the various diagnostic modalities. Design Case report. Setting Academic reproductive medicine center. Patient(s) A 28-year-old nulliparous Indian immigrant presenting with primary infertility and known tubal pathology. Intervention(s) Laparoscopic bilateral salpingectomy and adhesiolysis and diagnostic endometrial sampling. Main Outcome Measrure(s) Acid-fast bacilli were obtained on polymerase chain reaction and culture of endometrial sample. Result(s) The patient was diagnosed with pelvic tuberculosis and treated with a directly observed multidrug regimen. Conclusion(s) Tuberculosis is an important cause of gynecologic morbidity and should be considered in the appropriate patients.