Which statement regarding the fallopian tube in female genital tuberculosis is correct?
- A Tubes are involved in roughly half of cases and involvement is unilateral in most
- B Tubes are involved in virtually all cases and involvement is bilateral in the great majority ✓
- C Tubal disease appears only after the ovaries have been infected
- D Tubal patency is typically preserved because the mucosa resists caseation
Correct answer: B. Tubes are involved in virtually all cases and involvement is bilateral in the great majority
Explanation
Because the organism arrives haematogenously, both tubes are seeded together, so tubal involvement approaches 100 percent and is bilateral in around 90 percent of cases. The fimbrial ends are characteristically affected early, leading to blockage and the classic deformed tubes on HSG. Ovarian involvement occurs by direct surface spread from diseased tubes and is usually limited to the cortex, preserving ovulation.
Reference: Shaw's Textbook of Gynaecology, 17th ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
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