HISTOPATHOLOGICAL STUDY OF TUBERCULAR ENDOMETIRTIS IN PATIENTS OF PULMONARY TUBERCULOSIS WITH CILINICAL CORRELATION IN A TERTIARY REFERRAL UNIT OF ODISHA.

Background:- After tuberculosis has been declared as Global emergency it has reawakened the interest of doctors. Genital Tuberculosis has been a subject of keen interest because it has impact on female infertility. Here this study aims at to study the Histo-pathological outcome of endometrial biopsy in diagnosed cases of Pulmonary Tuberculosis. Methods:- 62 females Cases of diagnosed PTB of age Group 15-45 years having history of genital tuberculosis were enrolled in this study. The endometrial tissues of each patients collected and subjected to Histo-pathological examination and wherever required for bacteriological examination i.e. Z-N staining for AFB. Results:- Among 62 patients, highest incidence (59.68%) belong to 21-30 years age group and presented with in 1st year of development of PTB. Secondary amenorrhea, list of vaginal discharge and cervical erosion were observed in 24.19% and 25.81%of cases respectively, Eight (8) cases (12.90%) had histological finding of chronic endometritis. Out of them Four (4) cases (6.45%) were AFB positive on Z-N staining of endometrial tissue. Conclusion:- Endometrial tuberculosis though rare in pulmonary tuberculosis cases, bacteriological and histo-pathological examination of endometrial tissue should be done for early diagnosis and treatment.