What tests can detect pelvic tuberculosis?

Pelvic tuberculosis is a series of inflammatory changes caused by the invasion of Mycobacterium tuberculosis into pelvic organs. Common symptoms include abdominal pain and increased vaginal discharge. Under normal circumstances, pelvic tuberculosis can be detected through various examinations such as X-ray, two-dimensional ultrasound, CT scan, laparoscopy, and PPD skin test.

1. X-ray examination: Routine X-ray examination is performed to check for old tuberculosis lesions. Pelvic X-ray examination is usually conducted, and the presence of local calcification suggests possible pelvic tuberculosis.

2. Two-dimensional ultrasound examination: Ultrasound is used to evaluate the structure and blood flow status of pelvic organs, assisting in the diagnosis of possible tuberculous lesions. Pelvic masses may appear cystic, solid, or mixed with uneven echotexture, ill-defined borders, irregular surface, and immobility on two-dimensional ultrasound, often suggesting pelvic tuberculosis.

3. CT scan: Pelvic CT scanning provides more detailed internal pelvic information, helping to locate small nodules or deep lesions. It can also detect abnormal findings such as pelvic masses and adhesions.

4. Laparoscopy: This is one of the important methods for diagnosing pelvic tuberculosis. Laparoscopy allows direct visualization of pelvic lesions and biopsy collection, which aids in confirming the diagnosis of pelvic tuberculosis.

5. PPD skin test: Tuberculin is a specific product of Mycobacterium tuberculosis. The body develops a hypersensitivity reaction after infection with Mycobacterium tuberculosis. A strongly positive PPD skin test result may indicate pelvic peritoneal or genital tuberculosis.

If symptoms of pelvic tuberculosis appear, appropriate examination methods can be selected according to medical advice. After diagnosis, active anti-tuberculosis treatment should be carried out to prevent further progression of the disease.