A rare case of tuberculous salpingitis

Abstract

The objective of this study was to give an overview of a rare case of tuberculosis of the left fallopian tube in postmenopausal women. It is known that the isolated tuberculous salpingitis without spreading to the endometrium is extremely rare case. In our case, it simulated a cancer of appendages at the late stages that were proved by the increased level of CA-125. This fact as well as the macroscopic image of the left fallopian tube was incorrectly considered by the clinicians as a malignant neoplasm of fallopian tube. However, after pathomorphological examination of postoperative samples during histological study, the main method of verification of the diagnosis, revealed the specific granulomas in the samples that indicate the tubercular inflammation. It was considered by clinical and laboratory as data secondary focus.

Keywords: Langhans giant cells; clinical case; fallopian tubes; histology; tuberculosis.

Fig. 1.

Ultrasound investigation of female genitals. Arrow shows the tumor

Fig. 2.

Uterus appendages. Left fallopian tube with a growth presented as a cavity filled with friable masses (marked with a pointer)

Fig. 3.

Left fallopian tube. Area of caseous necrosis surrounded by epithelioid cells, lymphocytes, and Langhans giant cells. Stained with hematoxylin and eosin (Magnification 400×)

Fig. 4.

Nonspecific changes in left fallopian tube – proliferation of connective tissue with a large number of fibroblasts, fibrocytes, and histiocytes. Stained with hematoxylin and eosin (Magnification 100×)