title: Coexisting genital tuberculosis and endometriosis presenting as abdominal mass in an infertile woman: a report of a rare case.
abstract: OBJECTIVE
  To document a rare case of coexisting endometriosis and genital tuberculosis.
  
  
  METHODS
  Case Report.
  
  
  METHODS
  Tertiary-care center.
  
  
  METHODS
  A 24-year-old infertile woman presented with atypical clinical and radiological features that were suggestive of an ovarian malignancy.
  
  
  METHODS
  Exploratory laparotomy with left-sided salpingo-oophorectomy and right-sided ovarian cystectomy. Coexisting endometriosis and tuberculosis were diagnosed postoperatively on the basis of histopathology with positive polymerase chain reaction and culture for Mycobacterium tuberculosis. The patient was treated with antitubercular drugs and GnRH agonist for 6 months postoperatively.
  
  
  METHODS
  Impact of dual pathology of genital tuberculosis and endometriosis of fertility.
  
  
  RESULTS
  The patient improved symptomatically but declined infertility treatment because of financial crisis. The patient did not conceive spontaneously and is currently disease free, 1 year postoperatively.
  
  
  CONCLUSIONS
  Coexisting endometriosis and tuberculosis simultaneously affecting tubes and ovaries is rare. Such combined pathology has a greater impact on fertility and may lead to a dilemma in diagnosis and management because of the unusual clinical picture. Early diagnosis by surgical exploration, as well as adequate treatment, may improve fertility.
authors.affiliation: Maulana Azad Medical College, Lok Nayak Jai Prakash Hospital, Delhi, India. shardabg74@rediffmail.com
authors.forename: Sharda Brata
authors.initials: SB
authors.lastname: Ghosh
authors.forename: Yedla Manikya
authors.initials: YM
authors.lastname: Mala
authors.forename: Reva
authors.initials: R
authors.lastname: Tripathi
authors.forename: Shakun
authors.initials: S
authors.lastname: Tyagi
mesh_terms: D000328:Adult; D004715:Endometriosis / Q000150:complications*; D005260:Female; D006801:Humans; D007247:Infertility, Female / Q000209:etiology*; D014384:Tuberculosis, Female Genital / Q000150:complications*