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Case Reports
. 2010:2010:970805.
doi: 10.1155/2010/970805. Epub 2010 Oct 17.

Xanthogranulomatous salpingitis associated with a large uterine leiomyoma

Joanne Margaret Howey  1 , Etienne Mahe, Jasim Radhi
Affiliations
Case Reports

Xanthogranulomatous salpingitis associated with a large uterine leiomyoma

Joanne Margaret Howey et al. Case Rep Med. 2010.

Abstract

A case of xanthogranulomatous salpingitis (XGS) associated with a large uterine leiomyoma in a 50-year-old woman is presented. Xanthogranulomatous inflammation is an uncommon form of chronic inflammation that is destructive to affected organs. It is characterized by the presence of lipid-filled macrophages with admixed lymphocytes, plasma cells, and neutrophils. A review of the literature revealed that most patients with XGS have a clinical history of long-standing pelvic inflammatory disease (PID) or, less often, endometriosis. We report a case lacking a history of either PID or endometriosis but with a concurrent large uterine leiomyoma. Although the exact etiology in this case was not clear, the leiomyoma may have played a contributory role in pathogenesis.

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Figures

Figure 1
Figure 1
Fallopian tube showing marked inflammation and focal hemorrhage.
Figure 2
Figure 2
The inflammation is composed mainly of foamy histiocytes with scattered lymphocytes and plasma cells.
See this image and copyright information in PMC

References

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