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Case Reports
. 2014 Jul;5(3):156-8.
doi: 10.4103/0976-7800.141227.

Recurrent pyometra and xanthogranulomatous salpingitis: A rare pathologic association in a postmenopausal lady

Neha Gami  1 , Rajlaxmi Mundhra  1 , Kiran Guleria  1 , Vinod Kumar Arora  2 , Shipra Garg  2
Affiliations
Case Reports

Recurrent pyometra and xanthogranulomatous salpingitis: A rare pathologic association in a postmenopausal lady

Neha Gami et al. J Midlife Health. 2014 Jul.

Abstract

Xanthogranulomatous inflammation is a rare, non-neoplastic variant of chronic inflammation. Of the 15 reported cases of Xanthogranulomatous endometritis, majority (60%) were accompanied by endometrial carcinoma. We herein report a case of a postmenopausal woman presenting with recurrent pyometra who was suspected to be case of cervical tuberculosis and treated for the same. Inspite of antitubercular therapy, she had cervical stenosis and developed recurrent pyometra over the next 2 years requiring repeated drainage. She then underwent hysterectomy and was found to have co-existent Xanthogranulomatous salpingitis (XGS) on histopathological examination. Xanthogranulomatous inflammation is a rare pathological diagnosis that gynecologists need to be aware of while managing such patients.

Keywords: Recurrent pyometra; salpingitis; xanthogranulomatous inflammation.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
Pap smear showing histiocytic granuloma
Figure 2
Figure 2
Hysterectomy specimen showing granuloma in right tube
Figure 3
Figure 3
40× photomicrograph of cholestrol clefts surrounded by xanthomous cells and chronic inflammation
See this image and copyright information in PMC

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