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. 2013:2013:176124.
doi: 10.1155/2013/176124. Epub 2013 Apr 2.

Tuberculosis endometrial polyp

Julien Seror  1 , Erika Faivre, Sophie Prevot, Xavier Deffieux
Affiliations

Tuberculosis endometrial polyp

Julien Seror et al. Case Rep Obstet Gynecol. 2013.

Abstract

Tuberculosis can cause infertility when it infects the genital tract (e.g., endometritis). A 31-year-old woman (origin: Algeria) was referred to our academic gynecological institute for unexplained primary infertility. The patient presented with no complaint. Hysteroscopy showed a 10 mm sized endometrial polyp. The polyp was removed. Pathology showed lymphocytic and plasmacytic chronic inflammatory modification, granulomatous modification, and gigantocellular modification,which lead to the diagnosis of tuberculosis. No acid fast organism was seen on Ziehl-Neelsen staining. A chest thorax X-ray revealed no sign of pulmonary tuberculosis. The patient underwent antituberculosis therapy during one year. Posttreatment hysteroscopy revealed no abnormality. This is the first reported case of endometrial tuberculosis diagnosed following removal of a polyp with classical benign appearance.

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Figures

Figure 1
Figure 1
Pathological examination of the endometrial polyp. Microscopic analysis of the surgically removed endometrial polyp showed superficial erosive inflammation with numerous nonnecrotizing granulomas containing Langhans giant cells. No acid fast organism was seen on Ziehl-Neelsen staining.
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