Xanthogranulomatous salpingitis and oophoritis associated with endometriosis and uterine leiomyoma presenting as intestinal obstruction

Abeysundara PK, Prabath K Abeysundara, Goluhewage S. Padumadasa, Padumadasa GS, Tissera WG, Warnakulasooriya G. M. Tissera, Wijesinghe PS, Prasantha S Wijesinghe, P.S. Wijesinghe
Journal of Obstetrics and Gynaecology Research · 2012 · vol. 38(8) , pp. 1115–1117 · doi:10.1111/j.1447-0756.2011.01834.x · PMID:22568924 · W1888688802
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This case report describes a 34-year-old woman with endometriosis and uterine leiomyoma who presented with intestinal obstruction due to xanthogranulomatous salpingitis and oophoritis.

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Abstract

Xanthogranulomatous inflammation is a rare form of chronic granulomatous inflammation. Bacterial infections, immunosuppression, chronic inflammatory conditions, luminal obstruction, endometriosis, leiomyoma, abnormal lipid metabolism, ineffective antibiotic therapy, ineffective clearance of bacteria by phagocytes and chronic irritation of the urachal remnant have been implicated in the pathogenesis. There are very few reported cases of xanthogranulomatous salpingitis and oophoritis. We present such a case in a 34-year-old female, with primary subfertility for eight years, endometriosis, uterine leiomyoma, type II diabetes mellitus and a history of surgery for endometriosis and fibroids and surgical wound infection, who presented with symptoms of intestinal obstruction. The patient underwent emergency laparotomy followed by total abdominal hysterectomy and bilateral salpingo-oophorectomy. Histology revealed xanthogranulomatous salpingitis and oophoritis. Chronic inflammation due to inadequate treatment of bacterial infection, coupled with pelvic endometriosis and uterine leiomyoma may have led to xanthogranulomatous salpingitis and oophoritis.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Intestinal Obstruction Leiomyoma Oophoritis Salpingitis Uterine Neoplasms Adult Adult Endometriosis Endometriosis Female Female Humans Humans Intestinal Obstruction Intestinal Obstruction Intestinal Obstruction Leiomyoma Leiomyoma Oophoritis

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References (15)

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