Journal of Postgraduate Medicine, Education and Research

Register      Login

VOLUME 53 , ISSUE 4 ( October-December, 2019 ) > List of Articles

CASE REPORT

Female Genital Tract Affected by Xanthogranulomatous Inflammation: A Series of Four Cases and Review of Literature

Richa Vatsa, Jyoti Meena, Sunesh Kumar, Kallol K Roy

Keywords : Inflammation, Oophoritis, Salpingitis, Xanthogranulomatous

Citation Information : Vatsa R, Meena J, Kumar S, Roy KK. Female Genital Tract Affected by Xanthogranulomatous Inflammation: A Series of Four Cases and Review of Literature. J Postgrad Med Edu Res 2019; 53 (4):160-162.

DOI: 10.5005/jp-journals-10028-1336

License: CC BY-NC 4.0

Published Online: 01-06-2018

Copyright Statement:  Copyright © 2019; The Author(s).


Abstract

Objective: Xanthogranulomatous inflammation is a form of chronic inflammation that rarely affects the female genital tract. Endomertium is most commonly involved in the genital tract; ovary and fallopian tube is rarely affected. The purpose of this case series is to make clinicians familiar about this rare condition. Case description: Here we are presenting a series of four cases, three of xanthogranulomatous oophoritis and one of xanthogranulomatous salpingitis each. One of our cases appeared as carcinoma ovary and other as metastasis of carcinoma cervix to ovary. Conclusion: Xanthogranulomatous inflammation of the female genital tract is an uncommon entity, clinical and radiological features of this entity may mimic ovarian tumor, and hence it must be considered in the differential diagnosis of ovarian mass. Histopathological examination is essential for its diagnosis. Awareness of this entity is vital to avoid an incorrect and overdiagnosis of malignancy.


HTML PDF Share
  1. Zhang XS, Dong HY, Zhang LL, et al. Xanthogranulomatous Inflammation of the Female Genital Tract: Report of Three Cases. J Cancer 2012;3:100–106. DOI: 10.7150/jca.3929.
  2. Kunakemakorn P, Ontai G, Balin H. Pelvic inflammatory pseudotumor: a case report. Am J Obstet Gynecol 1976;126(2):286–287. DOI: 10.1016/0002-9378(76)90293-3.
  3. Shukla S, Pujani M, Singh SK, et al. Xanthogranulomatous oophoritis associated with primary infertility and endometriosis. Indian J Pathol Microbiol 2010;53(1):197–198. DOI: 10.4103/0377-4929.59240.
  4. Suryawanshi KH, Damle RP, Dravid NV. Xanthogranulomatous Oophoritis Mimicking as an Ovarian Neoplasm. J Case Rep 2014;4(1):100–103.
  5. Narayan R, Mishra M, Mohanty R, et al. Xanthogranulomatous cervicitis. Indian J Pathol Microbiol 2008;51:458–459.
  6. Singh A, Vats G, Radhika AG, et al. Cervical xanthogranuloma in a case of postmenopausal pyometra. Obstet Gynecol Sci 2016;59(5):411–414. DOI: 10.5468/ogs.2016.59.5.411.
  7. Inoue T, Oda K, Arimoto T, et al. Xanthogranulomatous inflammation of the perimetrium with infiltration into the uterine myometrium in a postmenopausal woman: a case report. BMC Womens Health 2014;14:82. DOI: 10.1186/1472-6874-14-82.
  8. Gray Y, Libbey PN. Xanthogranulomatous Salpingitis and Oophoritis A Case Report and Review of the Literature. Arch Pathol Lab Med 2001;125:260–263. DOI: 10.1043/0003-9985(2001)125<0260:XSAO>2.0.CO;2.
  9. Singh N, Tripathi R, Mala YM, et al. Xanthomatous oophoritis following uterine artery embolisation: successful conservative surgical management with favourable outcome. BMJ Case Rep 2013 Jul;2013:bcr2013010184. DOI: 10.1136/bcr-2013-010184.
  10. Rakheja R, Makis W, Hickeson M. Bilateral Tubo-Ovarian Abscess Mimics Ovarian Cancer on MRI and 18F-FDG PET/CT. Nucl Med Mol Imaging 2011;45(3):223–228. DOI: 10.1007/s13139-011-0089-5.
  11. Tai S, Liang C. A Case of Genitourinary Xanthogranulomatous Inflammation. Gynecol Obstet 2013;3(3):160. DOI: 10.4172/2161-0932.1000160.
  12. Tanwar H, Joshi A, Wagaskar V, et al. Xanthogranulomatous Salpingooophoritis: The Youngest Documented Case Report. Case Rep Obstet Gynecol 2015;2015:237250. DOI: 10.1155/2015/237250..
  13. Shilpa D, Kalpana S, Sachin B, et al. Xanthogranulomatous oophoritis: Case Report. Indian J Basic Appl Med Res 2013 June;7(2):745–749.
  14. Chouairy CJ, Hajal EA, Nehme YA. Xanthogranulomatous oophoritis secondary to talcum powder. Case report and review of the literature. J Med Liban 2012;60(3):169–172.
  15. Lalwani N, Patel S, Ha KY, et al. Miscellaneous tumour-like lesions of the ovary: cross-sectional imaging review. Br J Radiol 2012;85: 477–486. DOI: 10.1259/bjr/92819127.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.