Öz
Objective: To present a case of rare gyneacologic problem; pelvic tuberculosis operated initially as an adnexial mass Material and method: A patient diagnosed to be pelvic tuberculosis, who was operated with a clinical diagnosis of malignant adnexial mass. Results: The patient was operated with the clinical diagnosis of malignant adnexial mass, but frozen section revealed a chronic granulamatous inflamation ( tuberculosis ) of the pelvis and abdomen. The patient was then given antituberculostatic therapy, now is free of clinical symptoms and disease free for the last six months.
Anahtar Kelimeler
Adnexal Diseases Adolescent Tuberculosis Antitubercular Agents Treatment Outcome Postoperative Period Diagnostic Errors
Kaynakça
- 1.Anderson JR: Genital tuberculosis. In Novaks Textbook of Gynecology. Jones HW, Wentez AC. Burnett LS (Eds). Tenth ed. Williams and Wilkins, Baltimore, 1988, p: 557- 69 2.Netter FH: Disease of fallopian tubes.In Netter FH. (ed) The Ciba Collection of Medical Illustrations, Vol 2, Reproductive System. Ciba Pharmaceutical Company, USA, 1988, p:188- 90 3.Hems ell DL, Wendel GD, Mickal A: Sexually transmitted disease and pelvic infections. In Pernall ML. (ed). Current Obstetric and Gynecologic Diagnosis and Treatment. 7th Ed. Appleton and Lange, Lebanon, 1991, p:796- 7 4.Aka N, Vural EZ,: Evaluation of patients with active pulmonary tuberculosis for genital involvement. J Obstet Gynaecol Res 1997, 23: 337-40 5.Kolachevskaia EN, Antipova NB, Rzhavskov Mlu: Clinical course and diagnosis of female genital tuberculosis. Probl Tuberk 1994, 6: 26-9 6.Falk V, Ludviksson K, Agren G: Genital tuberculosis in women. Analysis of 187 newly diagnosed cases from 47 Swedish hospitals during the ten year period 1968 to 1977. Am J Obstet Gynecol 1980, 138: 933- 51 7.Ansan K: Genital tüberküloz. Ansan K. (Ed.) Kadın hastalıkları. Çeltüt Matbaacılık, İstanbul, 1983, s: 453- 8 8.Agarwal J, Grupta JK: Female genital tuberculosis; a retrospective clinicopathologic study at 501 cases. Indian JPathol Microbiol 1993, 36: 389-97 9.Yıldırım M: Pelvik tüberküloz. Yıldırım M. (Ed.) Klinik jinekoloji. Türkiye Klinikleri Yayınevi, Ankara, 1992, s: 324- 8 10.Paula A. Hillard. Benign isease of the Female reproductive Tract: Symptoms and signs. In : J.S. Berek., Novak'sGynecology 12. ed. Williams and Wilkins, 1996, 331-397
- 11.C.Hillary Buckley. Endometrial iflammation. In Obstetrical & Gynecological pathology, 4th. Ed,edited by H.Fox and M Well s, Churchill Livingstone, 1998, 405-420
- 12.Sutherland AM: The changing pattern of tuberculosis of the female genital tract. A Thirty year survey. Arch Gynecol 1983, 234: 95- 101 13.Köse G, Köse AD, Tuğrul AS, Demir HF, Çağlayan B: Pelvik tüberküloz. 52 aktif tüberküloz olgusunda endometrial tutulum oranları. Zeynep Kamil Tıp Bülteni Jinekoloji Obstetrik Pediatri Klinikleri 1997, 29: 56- 61 14.Amenore. in Klinik Jinekolojik Endokrinoloji ve infertilite. Speroff L, Glass RH, Kase NG (Eds); 5. Baskı, çeviri: Nobel Tıp Kitabevi 1996, s: 418 15.Waltez A, Koenigsberg M: Ultrasonographic demonstration of pelvic tuberculosis. J Ultrasound Med 1983, 2:139-40 16.Siegler AM: Hysterosalphingography. Fertil Steril 1983, 40:139- 58 17.Rao GJ, Ravi BS, Cheriparambil KM, Pachter B, Pujol F: Abdominal tuberculosis or ovarian carcinoma management dilemma associated with an elevated CA-125 level. Medscape Women's Health 1996, 1: 2 18.NovakER, Woodruff JD: Novak's Gynecologic and Obstetric Pathology, ed. 8, Philadelphia, WB Saunders, 1979, p: 328
Öz
Amaç: Adneksiyal kitle nedeniyle laparatomi yapılan hastada, nadir görülen pelvik tüberküloz tanısı ve vakanın takdimi. Materyal ve metod: Adneksiyal kitle ön tanısı ile öpere edilen ve patolojik tanısı kronik granulomatöz iltihap ( tüberküloz ) olarak verilen bir vaka. Sonuçlar: Hasta adneksiyal kitle nedeniyle öpere edilmiş ve operasyon sırasında yapılan frozen inceleme sonucu kronik granulomatöz iltihap (tüberküloz) gelmiştir. Ameliyat sonrası dönemde anti-tüberküloz tedavi başlanan hastanın klinik bulguları ve şikayetleri hızla gerilemiş olup, hasta 6 aydır kontrol altındadır.
Anahtar Kelimeler
Adneksa hastalıkları Ergen Tüberküloz Antitüberküler ajanlar Tedavi sonucu Ameliyat sonrası dönem Tanı hataları
Kaynakça
- 1.Anderson JR: Genital tuberculosis. In Novaks Textbook of Gynecology. Jones HW, Wentez AC. Burnett LS (Eds). Tenth ed. Williams and Wilkins, Baltimore, 1988, p: 557- 69 2.Netter FH: Disease of fallopian tubes.In Netter FH. (ed) The Ciba Collection of Medical Illustrations, Vol 2, Reproductive System. Ciba Pharmaceutical Company, USA, 1988, p:188- 90 3.Hems ell DL, Wendel GD, Mickal A: Sexually transmitted disease and pelvic infections. In Pernall ML. (ed). Current Obstetric and Gynecologic Diagnosis and Treatment. 7th Ed. Appleton and Lange, Lebanon, 1991, p:796- 7 4.Aka N, Vural EZ,: Evaluation of patients with active pulmonary tuberculosis for genital involvement. J Obstet Gynaecol Res 1997, 23: 337-40 5.Kolachevskaia EN, Antipova NB, Rzhavskov Mlu: Clinical course and diagnosis of female genital tuberculosis. Probl Tuberk 1994, 6: 26-9 6.Falk V, Ludviksson K, Agren G: Genital tuberculosis in women. Analysis of 187 newly diagnosed cases from 47 Swedish hospitals during the ten year period 1968 to 1977. Am J Obstet Gynecol 1980, 138: 933- 51 7.Ansan K: Genital tüberküloz. Ansan K. (Ed.) Kadın hastalıkları. Çeltüt Matbaacılık, İstanbul, 1983, s: 453- 8 8.Agarwal J, Grupta JK: Female genital tuberculosis; a retrospective clinicopathologic study at 501 cases. Indian JPathol Microbiol 1993, 36: 389-97 9.Yıldırım M: Pelvik tüberküloz. Yıldırım M. (Ed.) Klinik jinekoloji. Türkiye Klinikleri Yayınevi, Ankara, 1992, s: 324- 8 10.Paula A. Hillard. Benign isease of the Female reproductive Tract: Symptoms and signs. In : J.S. Berek., Novak'sGynecology 12. ed. Williams and Wilkins, 1996, 331-397
- 11.C.Hillary Buckley. Endometrial iflammation. In Obstetrical & Gynecological pathology, 4th. Ed,edited by H.Fox and M Well s, Churchill Livingstone, 1998, 405-420
- 12.Sutherland AM: The changing pattern of tuberculosis of the female genital tract. A Thirty year survey. Arch Gynecol 1983, 234: 95- 101 13.Köse G, Köse AD, Tuğrul AS, Demir HF, Çağlayan B: Pelvik tüberküloz. 52 aktif tüberküloz olgusunda endometrial tutulum oranları. Zeynep Kamil Tıp Bülteni Jinekoloji Obstetrik Pediatri Klinikleri 1997, 29: 56- 61 14.Amenore. in Klinik Jinekolojik Endokrinoloji ve infertilite. Speroff L, Glass RH, Kase NG (Eds); 5. Baskı, çeviri: Nobel Tıp Kitabevi 1996, s: 418 15.Waltez A, Koenigsberg M: Ultrasonographic demonstration of pelvic tuberculosis. J Ultrasound Med 1983, 2:139-40 16.Siegler AM: Hysterosalphingography. Fertil Steril 1983, 40:139- 58 17.Rao GJ, Ravi BS, Cheriparambil KM, Pachter B, Pujol F: Abdominal tuberculosis or ovarian carcinoma management dilemma associated with an elevated CA-125 level. Medscape Women's Health 1996, 1: 2 18.NovakER, Woodruff JD: Novak's Gynecologic and Obstetric Pathology, ed. 8, Philadelphia, WB Saunders, 1979, p: 328
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Bölüm | Makaleler |
| Yazarlar | |
| Yayımlanma Tarihi | 1 Nisan 2009 |
| Yayımlandığı Sayı | Yıl 2009 Cilt: 40 Sayı: 3 |