An intriguing case of endometrial tuberculosis presenting as irregular menstrual bleeding

Abstract

Endometrial tuberculosis (TB) is a rare form of tuberculosis infection. The diagnosis is not straightforward due to the nature of its presentation. We report a case of endometrial TB in a young, healthy and immunocompetent patient, who presented with irregular menstrual bleed. Her endometrial pipelle sampling revealed features of caseating granulomatous inflammation due to TB. We discuss the diagnostic modalities and treatment in this case.