26 year old female underwent hysterosalpingogram for the investigation of infeility. She has a previous history of tuberculosis. If she had developed genital tuberculosis, which genital organ will be affected commonly?
Cervix
Ovary
Fallopian tube
Vagina
The primary focus of genital tuberculosis is the fallopian tubes (90% of the times), which are almost always affected bilaterally but not symmetrically. The tubes are thickened and show a rough external surface with adhesions. As tuberculosis heals, the entire tube becomes encased in heavy connective scar tissue and the lumen develops a beaded, rigid pipe stem appearance. The obstruction of the tube most frequently occurs in the region of transition between the isthmus and the ampulla.