Genitourinary Tuberculosis: An Atypical Clinical Presentation

Abstract

Genitourinary tuberculosis is one of the common forms of extrapulmonary tuberculosis. We report a case of atypical genitourinary tuberculosis: massive uterovaginal prolapse with cervical lesion mimicking cervical carcinoma. This particular case highlights the problem of healthcare in most of the developing countries. Lack of patient education, awareness, and access to a healthcare system resulted in a complicated situation. In an endemic area or in an immunocompromised individual, a higher index of suspicion would allow early recognition and treatment institution to minimise its late consequences as well as spreading of the disease. Though anti-TB is the mainstay of treatment, surgical intervention might be needed in selected cases.

Diseases masking and delaying the diagnosis of urogenital tuberculosis

“…Massive uterovaginal prolapse with cervical lesion mimicked cervical carcinoma in the case described by Lim and colleagues, and surgery was performed, after which histology identified TB [Lim et al 2012]. Vulval TB in one case was estimated as vulval carcinoma, and the patient underwent radical surgery, whereupon TB was found by histological investigation.…”

A Case of Genital Tuberculosis Presenting as HSIL on Cervical Biopsy

“…Pap smear can offer provisional diagnosis while EB is one of the simplest diagnostic methods. When culture is negative, aetiologies of granulomas like lymphogranuloma venereum, sarcoidosis and schistosomiasis must be undertaken [5] .…”

“…Of all the cases of TB, Cervical TB accounts for 0.1-0.65% and 5-24% of genital TB cases, thus it is extremely rare [1] . It is more common in women whose age is less than 40, and rarely presents in postmenopausal [5] .…”