Abdominopelvic Tuberculosis: A Possibility with Varied Gynaecological Presentations

Abdominopelvic tuberculosis case series with variable gynecological symptoms are presented to highlight its frequency among Pakistani women. The study was carried out at MCH Centre, Pakistan Institute of Medical Sciences (PIMS), Islamabad Pakistan from 1st June 2014 to 30th June 2016. We describe five cases of pelvic tuberculosis, each presented with different complaints. The necessity of suspecting the diagnosis of pelvic tuberculosis in women with various gynecological diagnoses e.g., subfertility, adnexal masses, menstrual irregularities, ascites, persistent abdominal pain etc. is underlined. The first woman presented with complex bilateral ovarian masses and gross ascites with suspected ovarian carcinoma. A second patient was diagnosed during the workup of subfertility. The Third patient presented with irregular menstrual cycles since menarche while the fourth woman was being investigated with suspicion of malignant ovarian mass. Fifth female with tuberculosis presented with secondary amenorrhea and left adnexal mass. It is highlighted that diagnosis of pelvic tuberculosis should be kept in mind with various gynaecological presentations especially in Pakistan where it is endemic.