Postmenopausal endometrial tuberculosis

Objective We describe a case of endometrial tuberculosis where confirmatory biopsy material was obtained by selective resection. The hysteroscopic app earance of tuberculous granulomas is discussed. Subject A 62-year-old woman presented with breakthrough bleeding whilst on hormone replacement therapy. Endometrial biopsy obtained at diagnostic hyst eroscopy showed the presence of granulomas on histological examination. At a second hysteroscopy subepithelial nodules were seen and resected. Histolo gical examination confirmed the presence of non-caseating epithelioid granu lomas. The Heaf test was strongly positive. Conclusion Tuberculous granulomas can be seen hysteroscopically and selecti ve resection will provide targeted biopsy material to aid diagnosis.