Pelvic tuberculous granuloma successfully treated with laparoscopy to preserve fertility: A case report and review of the published work

• Published in: The journal of obstetrics and gynaecology research Vol. 40; no. 6; pp. 1814 - 1818
• Main Authors: Nakahara, Tatsuo, Iwase, Akira, Mori, Masahiko, Kondo, Mika, Goto, Maki, Kikkawa, Fumitaka
• Format: Journal Article
• Language: English
• Published: Australia 01.06.2014
• Subjects: Adult; Female; female genital tuberculosis; Fertility; Granuloma - etiology; Granuloma - surgery; Humans; infertility; Infertility, Female - etiology; laparoscopic surgery; Laparoscopy; Mycobacterium; Peritonitis, Tuberculous - complications; Tuberculoma - surgery; tuberculous granuloma; female genital tuberculosis; infertility; laparoscopic surgery; tuberculous granuloma
• ISSN: 1341-8076; 1447-0756
• DOI: 10.1111/jog.12378

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.