Bilateral tubal tuberculosis as a cause of chronic pelvic pain and sterility

A 29-year-old woman presented with a 12-month history of subfebrile chronic pelvic pain. Prior to this she had no previous medical history of pelvic inflammatory disease. On gynecological examination, bilateral adnexal masses were palpable. Ultrasonographically, bilateral adnexal masses 8x6 cm were visible with different echogenicity, and the Douglas space was totally filled with masses. On power Doppler examination, blood flow was detected bilaterally through the masses with a resistive index of 0.42. Neither ovary was visible. Laparoscopically we found bilateral tubal tuberculosis with no other pathology. Bilateral salpingectomy was undertaken. After surgery the patient received tuberculostatic therapy for 6 months.