Volume 13, Issue 5 (7-2015)                   IJRM 2015, 13(5): 297-304 | Back to browse issues page

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Farrokh D, Layegh P, Afzalaghaee M, Mohammadi M, Fallah Rastegar Y. Hysterosalpingographic findings in women with genital tuberculosis. IJRM 2015; 13 (5) :297-304
URL: http://ijrm.ir/article-1-646-en.html
1- Surgical Oncology Research Center, Mashhad University of Medical Sciences, Mashhad, Iran , FarrokhD@mums.ac.ir
2- Department of Radiology, Imam Reza Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
3- Department of Biostatistics and Epidemiology, Faculty of Health Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
Abstract:   (2326 Views)
Background: Genital tuberculosis (TB) is an important cause of infertility in the developing countries, where hysterosalpingography (HSG) remains an initial diagnostic procedure in the evaluation of tubal and peritoneal factors leading to infertility.
Objective: The aim of this study was to determine the HSG findings of genital TB in infertile women.
Materials and Methods: We retrospectively reviewed HSG findings in 20 women with genital tuberculosis. HSG was performed in these women as part of infertility work up over 5 years. The other diagnostic procedures used included endometrial curettage and biopsy, histological examination, culture, laparoscopy, hysteroscopy and polymerase chain reaction.
Results: The mean age of the participants was 30.5±8 years. All women had clinical history of infertility for at least 4 years. Women presented with pelvic abdominal pain (30-35%) and menstrual disturbances (20-25%). Reviewing 20 cases of female genital TB were encountered various presentations on HSG.
Conclusion: HSG is an invaluable procedure in suggesting the diagnosis of genital TB in patients being investigated for infertility.
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Type of Study: Original Article |

References
1. Karasick S. Hysterosalpingography. Urol Radiol 1991; 13: 67-73. [DOI:10.1007/BF02924593]
2. Dye C, Watt CJ, Bleed DM, Hosseini SM, Raviglione MC. Evolution of tuberculosis control and prospects for reducing tuberculosis incidence, prevalence and deaths globally. JAMA 2005; 293: 2767-2775. [DOI:10.1001/jama.293.22.2767]
3. Sutherland AM. The changing pattern of tuberculosis of the female genital tract. A thirty year survey. Arch Gynecol 1983; 234: 95-101. [DOI:10.1007/BF00207681]
4. Sharma JB, Ray KK, Gupta N, Jain SK, Malhotra N, Mittal S. High prevalence of 5-Fitz- Hugh- Curtis syndrome in genital tuberculosis. Int J Gynaecol Obstet 2007; 99: 62-63. [DOI:10.1016/j.ijgo.2007.03.024]
5. Krishna UR, Sathe AV, Mehta H, Wagle S, Purandare VN. Tubal factors in sterility: a laparoscopic study of 697 cases of sterility. J Obstet Gynecol India 1979; 29: 663-667.
6. Chavhan GB, Hira P, Rathod K, Zacharia TT, Chawla A, Badhe P, et al. Female genital tuberculosos: hysterosalpingographic appearances. Br J Radiol 2004; 77: 164-169. [DOI:10.1259/bjr/27379200]
7. Ahmadi F, Zaferani M, Shahrzad G. Hysterosalpingographic appearance of genital tuberculosis:part 1 .Fallopian tube. Int J Fertil 2014: 7; 245-252.
8. Sharma JB, Pushparaj M, Roy KK, Neyaz Z, Gupta N, Jain SK, et al. Hysterosalpingographic findings in infertile women with genital tuberculosis. Int J Gynecol Obstet 2008; 101: 150-155. [DOI:10.1016/j.ijgo.2007.11.006]
9. Ahmadi F, Zaferany M, Shahrzad G. Hysterosalpingographic appearance of genital tuberculosis: par t11. Int J Ferti Steril 2014; 8: 13-20.
10. Mondal SK, Duta TK. A ten years clinicopathological study of female genital tuberculosis and impact on infertility. JNMA J Nepal Assoc 2009; 48; 52-57.
11. Sharma JB, Roy KK, Pushparaj M, Gupta N, Jain SK, Malhotra N, et al. Genital tuberculosis: an important cause of Ashermans syndrome in India. Arch Gynecol Obstet 2008; 277: 37-41. [DOI:10.1007/s00404-007-0419-0]
12. Philipsen T, Hansen BB. Comparative study of hysterosalpingogrphy and laparoscopy in infertile patients. Acta Obstet Gynecol Scand 1981; 60: 149-151.
13. Jindal UN. An algorithmic approach to female genital tuberculosis causing infertility. Int J Tuberc Lung Dis 2006; 10: 1045-1050.
14. Sirkci A, Bayram M .Venous intravasation in a patient with tuberculouse endometritis. Eur Radiol 2000; 10: 1838. [DOI:10.1007/s003300000436]
15. Bazaz-Malk G, Maheshwari B, Lal N. Tuberculosis endometritis: a clinicopathologic study of 1000 cases. Br J Obstet Gynaecol 1983; 90: 84-86. [DOI:10.1111/j.1471-0528.1983.tb06752.x]
16. Klein TA, Richmond JA, Mishell DR. Pelvic tuberculosis. Obstet Gynecol 1976; 48: 99-109.
17. Gatongi A, Gitau G, Kay V, Ngwenya S, Lafong C, Hasan A. Female genital tuberculosis. Obstet Gynecol 2005; 7: 75-79. [DOI:10.1576/toag.7.2.075.27000]
18. Kumar S. Female genital tuberculosis. In: Sharma SK, Mohan A, editors. Tuberculosis. 1st Ed. New Delhi, Jaypee Brothers; 2001: 311-324.
19. Merchant SA. Genital tract tuberculosis. In: Subbarao K, Banerjee S, editors. Diagnostic radiology and imaging. 1st Ed. New Delhi, Jaypee Brothers; 1997: 637-646.
20. Eng CW, Tang PH, Ong CL. Hysterosalpingography. Current applications. Singapore Med J 2007; 48: 368-373.
21. Gupta N, Sharma JB, Mittal S, Singh N, Misra R, Kukreja M. Genital tuberculosis in Indian infertility patients. Int J Gynecol Obstet 2007; 97: 135-138. [DOI:10.1016/j.ijgo.2006.12.018]

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