title: Xanthomatous oophoritis following uterine artery embolisation: successful conservative surgical management with favourable outcome.
abstract: Xanthomatous oophoritis is a rare inflammatory condition of the ovaries. We are reporting a case of a 28-year-old woman, who had undergone uterine artery embolisation 4 years ago due to symptomatic focal adenomyosis. After 3 years of embolisation, the patient started having chronic pelvic pain, dysmenorrhoea and polymenorrhagia along with inability to conceive. Abdominal examination showed 16 weeks size mass arising from the pelvis. Ultrasound findings were suggestive of focal adenomyosis and bilateral tubo-ovarian masses. A CT scan report showed cystic enlargement of ovaries showing high-density fluid contents. MRI showed two well-defined, thick-walled, septated, cystic lesions appearing hyperintense on both T1-weighted (T1w) and T2w images with peripheral and septal enhancement. Bilateral abscess walls were excised and the healthy ovarian tissue was left behind during surgery. Histopathology of the cyst wall showed xanthomatous oophoritis. After the conservative surgery, she received three doses of goserelin. She conceived spontaneously thereafter and delivered a healthy term baby.
authors.affiliation: Department of Obstetrics and Gynaecology, Maulana Azad Medical College, New Delhi, India. nilanchalisingh@gmail.com
authors.forename: Nilanchali
authors.initials: N
authors.lastname: Singh
authors.forename: Reva
authors.initials: R
authors.lastname: Tripathi
authors.forename: Yedla Manikya
authors.initials: YM
authors.lastname: Mala
authors.forename: Shelly
authors.initials: S
authors.lastname: Arora
mesh_terms: D000328:Adult; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D009869:Oophoritis / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D016896:Treatment Outcome; D055357:Uterine Artery Embolization / Q000009:adverse effects*; D014973:Xanthomatosis / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*