What causes pelvic tuberculosis?

Don’t be too surprised or nervous about the occurrence of pelvic tuberculosis. It is a common gynecological disease that can be cured through professional treatment. Generally, the causes of pelvic tuberculosis are related to pulmonary tuberculosis, and a few are related to other tuberculosis diseases. If pelvic tuberculosis is caused by pulmonary tuberculosis, there is a possibility of infection, which everyone needs to pay attention to.

Causes of pelvic tuberculosis

The disease is often secondary to pulmonary tuberculosis, intestinal tuberculosis or peritoneal tuberculosis, and the tuberculosis bacteria are mainly spread through the blood. In the genitals, the fallopian tubes are the first to be infected, followed by the endometrium and pelvic peritoneum. Ovarian and cervical tuberculosis are less common.

Pelvic tuberculosis is often accompanied by fallopian tube tuberculosis and can be divided into two types. One is wet peritonitis, which is mainly characterized by exudation. There are countless gray-yellow nodules of varying sizes scattered on the peritoneum. The exudate is a serous straw-yellow clear liquid that accumulates in the pelvic cavity. Sometimes, due to adhesion, multiple encapsulated cysts may form, which needs to be differentiated from ovarian tumors. The second is dry peritonitis, which is mainly characterized by adhesions, also known as adhesive peritonitis. It is characterized by thickening of the peritoneum and tight adhesions with adjacent organs. The adhesion lumps often undergo caseous necrosis and are prone to fistula formation.

Pelvic tuberculosis is more common in women aged 20 to 40. It has a slow course, atypical symptoms, and is easily overlooked. Tubal tuberculosis has the highest incidence rate, accounting for about 85% to 95% of female genital tuberculosis, and is mostly bilateral; endometrial tuberculosis is second, often spread from tubal tuberculosis. About half of the patients have both the endometrium and fallopian tubes invaded at the same time. Ovarian and cervical tuberculosis are rare.