Tubercular Pyosalpinx Mimicking Ovarian Torsion.
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Date
2015-02
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Abstract
Ovarian torsion is a gynecological emergency that
requires prompt recognition and treatment. It may present
with nonspecific signs and symptoms, and should be
considered in any female with acute abdominal pain. The
diagnosis is based on an awareness of the relevant risk
factors, the clinical presentation, and a high index of
suspicion. Timely investigation and management can make
the difference between ovarian loss and salvage — an
outcome of great importance in the population of
reproductive age females. Whereas Tuberculosis is a
chronic infectious disease, and the morbidity associated
with it has major health implications. When tuberculosis
affects the genital organs of young females, it has the
devastating effect of causing irreversible damage to their
fallopian tubes, resulting in a possible tubercular pyosalpinx
and infertility. However, the disease often remains silent .
In this case study, suspecting the diagnosis of genital
tuberculosis and of establishing the differential diagnosis
with ovarian tumors in the presence of large pyosalpinges
is highlighted.
Description
Keywords
ovarian torsion, adnexal torsion, gynecologic emergency, genital tuberculosis, pyosalpinges
Citation
Basu Debraj, Mondal Prasad, Chakrabarty Samrat, Sau Vidyasagar, Tubercular Pyosalpinx Mimicking Ovarian Torsion. Indian Medical Gazette. 2015 Feb ; 149 (2): 75-79.