Our first case demonstrates a typical scenario of FGTB. A 29 years-old woman presented with a history of 11 years infertility and of Trichomonas vaginalis and Chlamydia trachomatis infections last year. She had no fever or weight loss. She had no past or family history of TB. Her pelvic ultrasound examination revealed paraovarian cysts near fallopian tubes. The size of left cyst was 18.7 mm x 9.9 mm, right cyst was 16.7 mm x 12.2 mm. The patient underwent laparoscopy, and extensive changes in the ampullary region of both tubes were found (Fig. 1, Fig. 2, Fig. 3). The uterus was displaced to the left because of the peritoneal adhesions in the Douglas's Pouch (Fig. 4).
Histology revealed the cicatricial and adherent form of FGTB. Mtb was found in the tubal samples by PCR.
Two cases of congenital TB were reported by Das et al.. Case one presented at 12 days of age. The mother had been symptomatic for TB in the first trimester but was not diagnosed until her infant developed symptoms. The infant's gastric aspirate was acid-fast-bacilli (AFB)-positive and Mtb - culture-positive. PCR on the gastric specimen and mother's sputum demonstrated identical strains. Case two presented at 45 days of age and the gastric aspirate was both AFB- and culture-positive. The mother was asymptomatic and contact-tracing of the family failed to detect infection. However, FGTB was found on an endometrial biopsy.
Agrawal et al. described the case of a male preterm baby who had congenital miliary TB with multiple intestinal perforations. Exacerbation of latent genital TB during in vitro fertilization and pregnancy was described by Huang et al..