Abstract
This case report delves into the intricate clinical scenario of a 24-year-old primipara from Mozambique who underwent surgical intervention for suspected inflammatory pelvic disease. Despite presenting with a one-month history of abdominal pain, fever, and gastrointestinal symptoms, diagnostic challenges arose, ultimately leading to a laparotomy revealing extensive adhesions, left colonic fistula, and necrotic ovarian changes. Various surgical procedures were performed, including total left salpingectomy, proximal right salpingectomy, cystectomy of the right ovarian cyst, and partial excision of the necrotic right ovary, along with colostomy creation for colonic involvement. Histopathological examination suggested a chronic granulomatous inflammatory process, aligning with clinical suspicion of pelvic tuberculosis. Microbiological results indicated Candida lusitaniae co-infection. Postoperative Interferon-Gamma Release Assay was positive, supporting mycobacterial infection suspicion. The complexity of abdominal tuberculosis, with its diverse manifestations, requires a multidisciplinary diagnostic and therapeutic approach. This case underscores the importance of heightened awareness and comprehensive management in female genital tuberculosis cases.
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