Xanthogranulomatous salpingitis associated with a large uterine leiomyoma.

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.

Citation

Joanne Margaret Howey, Etienne Mahe, Jasim Radhi. Xanthogranulomatous salpingitis associated with a large uterine leiomyoma. Case reports in medicine. 2010;2010:970805

PMID: 20981281

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