Coexistence of Genital Tuberculosis and Ovarian Serous Cystadenofibroma in a Young Female Patient of Disseminated Tuberculosis

The coexistence of genital TB and ovarian serous cystadenofibroma is rare and presents a greater diagnostic challenge. We present a case of a 30-year-old woman with complaints of lower abdominal pain since past one year with a left tubo-ovarian mass lesion detected by B-ultrasound. The patient was an old case Right sided pleural effusion and was on ATT for six months. In view of the raised tumor markers and left side tubo-ovarian mass, staging Laparoscopic surgery was performed to rule out malignancy and tissues were sent for histopathological examination. The histopathological finding from left ovarian cyst wall showed cystic tissue lined by benign ciliated columnar epithelium showing focal pseudostratification. Epithelioid cell granulomas were noted in cyst wall.