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Pelvic tuberculous granuloma successfully treated with laparoscopy to preserve fertility: A case report and review of the published work
Author(s) -
Nakahara Tatsuo,
Iwase Akira,
Mori Masahiko,
Kondo Mika,
Goto Maki,
Kikkawa Fumitaka
Publication year - 2014
Publication title -
journal of obstetrics and gynaecology research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 1341-8076
DOI - 10.1111/jog.12378
Subject(s) - medicine , granuloma , laparoscopy , sequela , infertility , fertility , tuberculosis , uterus , surgery , pregnancy , pathology , population , environmental health , biology , genetics
Tuberculous granuloma must be considered in the differential diagnosis of pelvic masses in women of reproductive age because the major sequela of pelvic tuberculosis is infertility; however, currently there is very little information about its fertility‐preserving treatment. We report the case of a woman with a history of tuberculous peritonitis who referred to our hospital for evaluation of an adnexal mass and primary infertility. The patient underwent excision of pelvic tuberculous granuloma with fertility‐preserving laparoscopic surgery. We resected as much of the tuberculous granuloma as possible using the laparoscopic technique without causing damage to the uterus or ovaries. In particular, we report for the first time in the published work the laparoscopic removal of tuberculous granuloma without causing damage to the uterus or ovaries. Our experience from this case suggests that laparoscopic diagnosis and treatment of tuberculous granuloma is a feasible procedure in a patient who wants to conceive.