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Relook hysteroscopy after antitubercular therapy

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Presentation on theme: "Relook hysteroscopy after antitubercular therapy"— Presentation transcript:

1 Relook hysteroscopy after antitubercular therapy
Atul Kumar, M.S., Alka Kumar, M.S.  Fertility and Sterility  Volume 89, Issue 3, Pages (March 2008) DOI: /j.fertnstert Copyright © 2008 American Society for Reproductive Medicine Terms and Conditions

2 Figure 1 Before initiating antitubercular therapy the endometrium in the left cornua appears irregular, pale, and dirty-looking; endometrial gland openings are not visible, flimsy adhesions are present, and the mucosal surface is diffusely covered with irregular whitish deposits. Fertility and Sterility  , DOI: ( /j.fertnstert ) Copyright © 2008 American Society for Reproductive Medicine Terms and Conditions

3 Figure 2 After antitubercular therapy the left cornua looks unremarkable in a 1× panoramic view except for a whitish, well-circumscribed, tubercle-like, rounded structure present over the posterior cornual wall, giving the impression that the tubercular pathology had been walled off. A targeted biopsy of this rounded structure confirmed a persisting tubercular pathology by real-time polymerase chain reaction. Fertility and Sterility  , DOI: ( /j.fertnstert ) Copyright © 2008 American Society for Reproductive Medicine Terms and Conditions

4 Figure 3 After antitubercular therapy, the left cornual endometrium, which appeared normal in a distant panoramic view, exhibited roughness of the mucosal surface on a close-up 1× visualization. Fertility and Sterility  , DOI: ( /j.fertnstert ) Copyright © 2008 American Society for Reproductive Medicine Terms and Conditions

5 Figure 4 After antitubercular therapy, the left cornua, when observed with an at-source magnification in the same panoramic manner as in Fig. 3 (Hamou Micro-Hysteroscope II; Karl Storz, Tuttlingen, Germany) (7), revealed ill-defined whitish deposits and minute adhesion bands diffusely involving the endometrial surface. Fertility and Sterility  , DOI: ( /j.fertnstert ) Copyright © 2008 American Society for Reproductive Medicine Terms and Conditions


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