Post Date August, 06 2023
Endometrial tuberculosis is a disease that we should pay attention to, and its appearance brings many abnormal manifestations to the female body. We must promptly check and treat it reasonably as soon as possible.
Symptoms of endometrial tuberculosis
1. Vaginal discharge increase: due to the tuberculation of endometrium, all of them turn into caseous Granuloma like tissue, with serous odor of vaginal discharge. When combined with cervical tuberculosis, there is purulent or purulent discharge with contact bleeding.
2. Abnormal menstruation: due to the influence of endometrial tuberculosis, early endometrium can be congested or form ulcers, resulting in menorrhagia; In the late stage, the endometrium is damaged, affecting its function, resulting in sparse menstruation and even amenorrhea.
3. Lower abdominal pain: Among patients with endometrial tuberculosis, there are varying degrees of lower abdominal pain, manifested as long-term hidden pain in the lower abdomen, which worsens before menstruation. If combined with secondary pyogenic infection, obvious abdominal pain, fever, and other symptoms similar to acute pelvic inflammatory disease can occur.
4. Infertility: Endometrial tuberculosis lesions destroy the implantation and development environment of Zygote. Tubal tuberculosis lesions make the fallopian tubes impassable and sterile. Many patients with infertility come to the hospital for inspection and are finally diagnosed as endometrial tuberculosis.
5. Systemic symptoms: In severe cases, systemic symptoms such as fatigue, night sweats, low fever, weight loss, and loss of appetite may occur.
Endometrial tuberculosis examination
1. X-ray examination: hysterosalpingography, women with endometrial tuberculosis, the posterior wall of the uterus, Uterosacral ligament, rectum and accessories and other tuberculosis lesions, the uterus is posterior, fixed to form mushroom or sun umbrella. The ovaries show cystic enlargement with residual iodine oil around the fimbriae. Obstruction of fallopian tube patency. Due to pelvic adhesions, the iodine oil in the pelvis appears as small pieces with different thicknesses and scattered snowflakes on 24-hour X-ray examination.
2. B-ultrasound imaging examination: Currently, B-ultrasound imaging is an effective method for assisting in the diagnosis of endometrial tuberculosis. The ultrasound features used to observe ovarian endometrial tuberculosis cysts are: cystic masses are common, with blurry boundaries, sparse light spots inside, thick cystic fluid, and sometimes dense and thick light spots due to old blood clot thickening and organization. They are mixed masses; The mass is often located on the posterior side of the uterus in women, and the accompanying symptoms of cysts and uterus can be seen, with varying degrees of overlap between cyst images and uterine images; Cysts sometimes spontaneously rupture, and fluid accumulation can be seen in the posterior fossa. The inner cyst is smaller than before.
