A Lithopaedion in Twins

The frequency with which pregnancy occurs in the presence of pelvic tuberculosis is unknown. Probably many cases have not been reported because the diagnosis had not been established before pregnancy occurred. Recently a patient was seen in the antenatal clinic who four years previously had had bilateral tubal swellings which were thought to be tuberculous salpingitis. Should pregnancy occur it may be extrauterine, or, if intrauterine, abortion may ensue. There is suggestive evidence that unsuspected pelvic tuberculosis may rapidly progress in the presence of advanced pregnancy, possibly resulting in the death of the mother or infant, or both. To what extent modern antibiotics may alter the prognosis remains for future assessment.