Xanthogranulomatous Oophoritis: A Rare and Forgotten Entity
Abstract
Xanthogranulomatous oophoritis is a rare condition characterized by chronic inflammation and destruction of ovarian tissue. This case report describes a 25-year-old woman who presented with symptoms of bleeding, abdominal pain, and fever. Imaging revealed a tubo-ovarian mass, and during surgery, a pus-filled mass adhered to the right ovary was excised. Histopathological examination confirmed xanthogranulomatous oophoritis, and the pus culture showed the presence of coagulase- negative Staphylococcus aureus. This condition is often mistaken for ovarian malignancy and requires surgical removal of the affected ovary. Antibiotic therapy has not been successful in reducing the ovarian mass.
References
Kunakemakorn P, Ontai G, Balin H. Pelvic inflammatory pseudotumor: a case report. Am J Obstet Gynecol. 1976;126(2):286-7. [PubMed] [Google Scholar]
Punia RS, Aggarwal R, Amanjit, Mohan H. Xanthogranulomatous oophoritis and salpingitis: late sequelae of inadequately treated staphylococcal PID. Indian J Pathol Microbiol. 2003;46:80-1. [PubMed] [Google Scholar]
Shukla S, Pujani M, Singh SK, Pujani M. Xanthogranulomatous oophoritis associated with
primary infertility and endometriosis. Indian J Pathol Microbiol. 2010;53:197-8. [PubMed] [Google Scholar]
Chechia A, Bahri N, Felah R, Khaireddine A, Sakouhi M, Zakhama A. [Tubo-ovarian xanthogranulomatous inflammation. Report of a case]. Tunis Med. 1999;77:593-6. French. [PubMed] [Google Scholar]
Shashikala K, Sharmila PS, Sushma TA, Francis P. Ovarian haemangioma with synchronous xanthogranulomatous inflammation - a rare pathological finding. Int J Health Sci Res. 2013;5:116-9.
Altanis S, Raweily E, Katesmark M. Xanthogranulomatous endometritis and oophoritis secondary to diverticulitis. A rare cause of postmenopausal bleeding. J Obstet Gynaecol. 2007;27:746-7. [PubMed] [Google Scholar]
Kim SH, Kim SH, Yang DM, Kim KA. Unusual causes of tubo-ovarian abscess: CT and MR imaging findings. Radiographics. 2004;24:1575-89. [PubMed] [Google Scholar]
Abeysundara PK, Padumadasa GS, Tissera WG, Wijesinghe PS. Xanthogranulomatous salpingitis and oophoritis associated with endometriosis and uterine leiomyoma presenting as intestinal obstruction. J Obstet Gynaecol Res. 2012;38:1115-7. [PubMed] [Google Scholar]
Yener N, Ilter E, Midi A. Xanthogranulomatous salpingitis as a rare pathologic aspect of chronic active pelvic inflammatory disease. Indian J Pathol Microbiol. 2011;54:141-3. [PubMed]
Chou SC, Wang JS, Tseng HH. Malacoplakia of the ovary, fallopian tube and uterus: a case associated with diabetes mellitus. Pathol Int. 2002;52:789-93. [PubMed] [Google Scholar]
Chouairy CJ, Hajal EA, Nehme YA. Xanthogranulomatous oophoritis secondary to talcum powder. Case report and review of the literature. J Med Liban. 2012;60:169-
[PubMed] [Google Scholar ]
Singh UR, Revathi G, Gita R. Xanthogranulomatous oophoritis: an unusual complication of typhoid. J Obstet Gynaecol (Tokyo 1995). 1995;21:433-6. [PubMed] [Google Scholar]
Singh N, Tripathi R, Mala YM, Arora S. Xanthomatous oophoritis following uterine artery embolisation: successful conservative surgical management with favourable outcome. BMJ Case Rep. 2013;2013:bcr2013010184. [PubMed] [Google Scholar]
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