Case Report

Postmenopausal Endometrial Tuberculosis

  • İlker Arıkan
  • Serpil Bozkurt
  • Deniz Arıkan
  • Kemal Behzatoğlu
  • Remzi Abalı

İstanbul Med J 2004;5(2):30-34

Cases of genital tuberculous endometritis are usually found in the clinically unsuspecting patients randomly. Most of the patients are without symptoms and they can’t be diagnosed. So it is hard to confirm the real incidence of genital tuberculosis in the general population. The young patients with genital tuberculosis mostly apply to clinics with the complaint of infertility, but in the postmenopausal period pyometra becomes a more important symptom. A 73 year old woman applied to our clinic with the complaint of inguinal pain. We detected high degree of widening and collection in the uterine cavity with a thin uterine wall. We primarily thought it was a cystic mass. We did dilatation and curettage with the prediagnose of endometrial carcinoma. After the cervical dilatation an oderless material discharged from the cavity. The histopathological diagnosis of this material was tuberculous endometritis. We begun antituberculosis treatment. Because the collection repeated in the cavity and dilatation and drenage had been needed every day, hysterectomy was done to get more rapid response from the antituberculosis treatment. Tuberculous endometritis must kept in mind in the differential diagnosis of the patients who applied with the pyometra in the postmenopausal period.

Keywords: Tuberculous endometritis, Pyometra, Postmenopausal period