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Prolapse, Urogynecology & Infections

Question
25 out of 30
 

A young woman presented with infertility. Hysterosalpingogram shows beaded fallopian tubes with clubbing of the ampullary end. The most likely diagnosis is (DNB Dec 2012)



A Gonococcal infection

B Chlamydial infection

C Tuberculosis

D Herpes genitalis

Ans. C
[Tuberculosis]

Following findings strongly suggests tuberculosis salpingitis in Hysterosalpingo gram

a. A rigid non peristaltic pipe-like tube, called lead pipe appearance

b. Beading an variation in filling density

c. Calcification of the tube

d. Cornual block

e. A jagged fluffiness of the tubal outline

f. Vascular or lymphatic intravasation of the dye

g. Tobacco-pouch seen at naked eye examination in a proven case of genital tuberculosis, hysterosalpingography is contraindicated, as it may spread the infection

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