title: Pelvic tuberculous granuloma successfully treated with laparoscopy to preserve fertility: a case report and review of the published work.
abstract: 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.
authors.affiliation: Department of Obstetrics and Gynecology, Nagoya University, Graduate School of Medicine, Nagoya, Japan.
authors.forename: Tatsuo
authors.initials: T
authors.lastname: Nakahara
authors.forename: Akira
authors.initials: A
authors.lastname: Iwase
authors.forename: Masahiko
authors.initials: M
authors.lastname: Mori
authors.forename: Mika
authors.initials: M
authors.lastname: Kondo
authors.forename: Maki
authors.initials: M
authors.lastname: Goto
authors.forename: Fumitaka
authors.initials: F
authors.lastname: Kikkawa
mesh_terms: D000328:Adult; D005260:Female; D005298:Fertility; D006099:Granuloma / Q000209:etiology / Q000601:surgery; D006801:Humans; D007247:Infertility, Female / Q000209:etiology; D010535:Laparoscopy; D014395:Peritonitis, Tuberculous / Q000150:complications*; D014375:Tuberculoma / Q000601:surgery*
keywords: female genital tuberculosis; infertility; laparoscopic surgery; tuberculous granuloma