Xanthogranulomatous oophoritis and salpingitis: late sequelae of inadequately treated staphylococcal PID.
We describe the case of a 42-year-old woman who was a follow-up case of incompletely treated pelvic inflammatory disease, and presented with menorrhagia and bilateral ovarian masses. Subtotal hysterectomy with bilateral salpingo-oophorectomy was performed. Purulent material was obtained from the cystic masses, which grew Staphylococcus aureus. Histological examination of right-sided cystic mass revealed a simple cyst of the ovary. Left sided tuboovarian mass revealed the presence of lipid filled macrophages with lymphocytes, plasma cells and neutrophils; this established the diagnosis of xanthogranulomatous salpingitis and oophoritis. The case is of interest in view of the rarity of this condition; five cases of xanthogranulomatous salpingitis and oophoritis have been reported in the world literature till date.
Punia
Rajpal Singh
RS
Department of Pathology, Govt. Medical College, Chandigarh.
Aggarwal
Ritu
R
Amanjit
Mohan
Harsh
H
D000328:Adult; D005260:Female; D006099:Granuloma / Q000209:etiology / Q000473:pathology*; D006801:Humans; D009869:Oophoritis / Q000209:etiology / Q000473:pathology*; D000292:Pelvic Inflammatory Disease / Q000150:complications*; D012488:Salpingitis / Q000209:etiology / Q000473:pathology*; D013203:Staphylococcal Infections / Q000150:complications*; D014973:Xanthomatosis / Q000209:etiology / Q000473:pathology*