Genital tuberculosis is diagnosed in a woman investigated for infertility. Hystero-salpingography shows what pathognomonic features?
- A Beaded or pipestem fallopian tubes with cornual block ✓
- B Bilateral cornual block with hydrosalpinx
- C Unicornuate uterus with non-communicating horn
- D T-shaped uterine cavity with reduced volume
Correct answer: A. Beaded or pipestem fallopian tubes with cornual block
Explanation
Genital tuberculosis on hysterosalpingography shows characteristic features: beaded (rosary bead) or pipestem appearance of fallopian tubes due to granulomatous nodules and fibrosis, often with cornual or distal block. The endometrial cavity may be irregular or reduced with synechiae (Asherman-like). Bilateral cornual block without the beaded appearance is non-specific. T-shaped uterine cavity is characteristic of in utero DES exposure. Unicornuate uterus is a Müllerian anomaly.
Reference: Shaw's Textbook of Gynaecology, 17th ed.
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