one of my pt,20 year unmarried female with generalised pain in abdomen from last 2-3 yeas.pain is diffuse mostly mild in intensity,constantly present sometimes increases in intensity like acute coliky in nature.sometimes she is having fever mild degree.she also have h/o dysmenorrhea from last 4 year.usg which was done 2 months ago suggest left renal stone in lowerpole of size 5mm after treatment pain releive for 15 days.but it started again.then i reffered her to gynaecologist.she also advice repeat sonography.which shows small haemorrhagic cyst of 1.5cm on left ovary..but this time stone dissapear.she advice tab o2 along with antacid blood investigatios are within normal limits but her pain was not decreasing at all otherwise it is increasing day by day ,whether there are possibility of abdominal kochs? please guide me on treatment perspective.
HiT hank you for asking ChatDoctorI have gone through your query. Genital tuberculosis can be suspected in your condition. Usually 90 percent of cases tuberculin skin test will be positive. ESR will be elevated and CRP also. Endometriosis is the another condition which should be ruled out. In case of all negative findings for TB and if ultrasound examination also fine then a diagnostic laparoscopic examination can be taken by an experienced gynecologist. Hope this may help you. Let me know if you have any further query.