tuberculosis in adenomyosis: common conditions with rare coexistence

Adenomyosis is a common problem in women resulting in menorrhagia and dysmenorrhea. Though tuberculosis of endometrium is common in the developing countries, tuberculosis in the adenomyosis is rare. We present a case of 45-year-old lady who came with vague abdominal pain. With the clinical diagnosis of adenomyosis, hysterectomy was done which showed extensive adenomyosis and tuberculosis in the uterus.