关键词: 不孕症, 女性, 结核, 体外受精, 胚胎移植, 诊断, 治疗

Abstract:

Pelvic tuberculosis is difficult to be discovered in clinic, and easy to be misdiagnosed, because of its concealed condition, no obvious clinical features and signs. We report a case of 29-year-old female who underwent laparoscopic exploration for a mass in the left adnexal area with the elevated carbohydrate antigen 125 (CA125) during in vitro fertilization-embryo transfer (IVF-ET). A large number of miliary nodules were found on the serosa surface of the uterus and fallopian tube under the laparoscopy. Pathological examination of the biopsy tissue showed granulomatous inflammation, with negative acid fast staining indicating a high possibility of tuberculosis. After empirical anti-tuberculosis treatment and CA125 levels were reduced to normal, the frozen-thawed embryo transfer was performed. The patient achieved a successful pregnancy and a healthy live birth. This case report combined with the literature review provides us a reference for the early diagnosis and treatment of infertile patients with pelvic tuberculosis.

Key words: Infertility, female, Tuberculosis, Fertilization in vitro, Embryo transfer, Diagnosis, Therapy