The authors report a rare case of hypertrophic vulval tuberculosis of primary origin in a 26-year-old female patient. The diagnosis was mainly based on histopathological examination. Good outcome was obtained with antitubercular chemotherapy supplemented with surgical reduction for aesthetic concern. The incidence of female genital tract tuberculosis has declined since introduction of specific treatment, but it still represents a major problem in many third world countries, like India. Tuberculosis in females most frequently affects the upper genital tract, the fallopian tubes and endometrium and the vulvo-vagina is the rare site of the disease. Due to bizarre presentation, it is a challenge to the clinicians for diagnosis and proper management. Here, we present a rare case of hypertrophic vulval tuberculosis diagnosed on histopathology and successfully treated with antitubercular chemotherapy and surgery.
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