Atypical Clinical - Radiological Presentation Leading to Surgical Intervention - Histopathology (Frozen Section) Key to Management

Endometrial Tuberculosis may mimic endometrial malignancy in clinical presentation, radiological findings and laboratory tests. We report a case of genital tuberculosis in a postmenopausal woman where a provisional diagnosis of advanced endometrial carcinoma was made initially based on clinical -radiological findings. Patient was intra operatively diagnosed endometrial tuberculosis and confirmed post operatively, treated with anti -tubercular drugs and had clinical improvement. This case signifies mandatory need of a high index of suspicion in our country, towards pelvic tuberculosis preoperatively even in a postmenopausal woman with abnormal uterine bleeding.