Despite advances in diagnostic facilities and drug therapy Tuberculosis still remains a major health problem in developing countries. Presentation of pelvic tuberculosis as Adnexal mass is a rare clinical presentation of a common disease. Diagnosis of pelvic peritoneal tuberculosis is often difficult because of non specific clinical, laboratory and radiological findings. The presence of adnexal mass, ascites and raised CA-125 level may be mistaken as ovarian malignancy. Hence a high level of suspicion is required for its diagnosis and pelvic tuberculosis should always be kept in differential diagnosis in patients presenting with adnexal mass with raised CA 125 in endemic area. Here we report a case series of three patients who presented with pain abdomen with adnexal mass. They were diagnosed as pelvic tuberculosis on the basis of history, radiological and histopathological findings. They were started on antitubercular therapy and on follow up the mass either regressed or completely disappeared.

Keywords:  Tuberculosis, Adnexal mass, ovarian malignancy.

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Smita Kumari

Senior Resident, Department of Obstetrics and Gynecology,

Indira Gandhi Institute of Medical Sciences, Patna