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DThe tubes are involved in atleast 90% of cases following blood stream spread, probably the genital disease starts here. It begins in the submucosa at their outer ends and gradually progresses inwards, bombarding the endometrium with bacilli. The appearance of tuberculous tubes varies depending upon the type of spread. With hematogenous spread, the disease starts as endosalpingitis and direct spread from bowel or peritoneum is detected as exosalpingitis with tubercles on the surface and with surrounding adhesions.
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