Endometrial Tuberculosis in a Postmenopausal Woman: A Rare Entity with Radiologic Implications

Endometrial tuberculosis (ETB) is a rare form of genital tuberculosis, typically affecting women of reproductive age. Its occurrence in postmenopausal women is extremely uncommon and often mimics endometrial malignancy due to non-specific clinical and imaging features. We report a case of ETB in a 72 year-old woman presenting with postmenopausal bleeding, in which imaging played a key role in raising suspicion and guiding further management. This case highlights the importance of including ETB in the differential diagnosis of abnormal endometrial findings in postmenopausal women, especially in tuberculosis endemic regions.