Endometrial Tuberculosis: Hysteroscopic Findings of a Clinical Case
| Autor: | Israel Santos Marcelo, Raimundo Dantas de Maria Júnior, Lucas Félix Cardoso, Marcela Sampaio Lima, Guilherme Machado de Santana, Ângela Maria da Silva, Daniela Siqueira Prado |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
0301 basic medicine
Abdominal pain medicine.medical_specialty Tuberculosis 030106 microbiology Antitubercular Agents Hysteroscopy 03 medical and health sciences urogenital tuberculosis Endometrium 0302 clinical medicine Pathognomonic Weight Loss medicine Urogenital tuberculosis Humans Ethambutol Ultrasonography 030219 obstetrics & reproductive medicine medicine.diagnostic_test business.industry Uterus Obstetrics and Gynecology Ascites Gynecology and obstetrics Mycobacterium tuberculosis Pyrazinamide Middle Aged medicine.disease Tuberculosis Female Genital Abdominal Pain medicine.anatomical_structure Treatment Outcome RG1-991 Female Radiology Uterine cavity medicine.symptom business medicine.drug |
| Zdroj: | Revista Brasileira de Ginecologia e Obstetrícia, Vol 41, Iss 6, Pp 409-411 (2019) |
| ISSN: | 1806-9339 |
| Popis: | Endometrial tuberculosis is a rare diagnosis in the postmenopausal period, and it can mimic a carcinoma. The present article describes the case of a 54-year-old female patient with weight loss, abdominal pain, and ascites. An ultrasonography showed endometrial thickening, and a video hysteroscopy revealed a uterine cavity with formations with cotton aspect covering the entire endometrial surface and the tubal ostia. An anatomopathological evaluation diagnosed endometrial tuberculosis. The treatment was with a standardized therapeutic scheme (ethambutol, isoniazid, pyrazinamide and rifampicin), and the patient evolved with clinical improvement and normal uterine cavity at hysteroscopy. Considering the lack of pathognomonic hysteroscopic findings of the disorder, it is important to disclose the images of the case.A tuberculose endometrial é um diagnóstico raro na pós-menopausa e pode mimetizar um carcinoma. O presente artigo descreve o caso de uma paciente de 54 anos com perda de peso, dor abdominal e ascite. A ultrassonografia mostrou espessamento endometrial, e a histeroscopia por vídeo revelou uma cavidade uterina com formações que apresentavam aspecto de algodão cobrindo toda a superfície endometrial e os óstios tubários. Uma avaliação anatomopatológica diagnosticou tuberculose endometrial. O tratamento foi com esquema terapêutico padronizado (etambutol, isoniazida, pirazinamida e rifampicina), e a paciente evoluiu com melhora clínica e cavidade uterina normal na histeroscopia. Considerando a falta de achados histeroscópicos patognomônicos do distúrbio, é importante divulgar as imagens do caso. |
| Databáze: | OpenAIRE |
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