Giant tuberculous pseudocarcinomatous hyperplasia of fallopian tube mimicking ovarian neoplasm - A challenging diagnosis

Pseudocarcinomatous hyperplasia of the fallopian tubes is an incidental histopathological finding or it causes slight enlargement of tubes. We are reporting a case where 38 years old woman reported with lump abdomen (corresponding to 28 weeks gravid uterus) and hypomenorrhea, was diagnosed as ovarian neoplasm after extensive work up that included tumor markers and CT scan. Staging laprotomy was undertaken, but intraoperatively it revealed massive enlargement of both the tubes. Frozen section and histopathological examination showed tuberculous pseudocarcinomatous hyperplasia of fallopian tubes. Bilateral salpingectomy was done. We are reporting this case because of its rarity, where massive enlargement of both the tubes was due to tuberculous Pseudocarcinomatous hyperplasia that mimicked ovarian neoplasm on clinical examination and on radioimaging techniques.