title: Xanthogranulomatous appendicitis causing an endometrial abscess: radiological findings.
abstract: Xanthogranulomatous inflammation (XGI) is a rare chronic inflammatory condition most commonly involving the kidneys and gallbladder. The condition is histopathologically characterized by the presence of foamy histiocytes, lymphocytes, and plasma cells. A few reports describing appendicitis caused by XGI have appeared in the English-language literature. However, no study has yet focused on the imaging features of xanthogranulomatous appendicitis (XGA). We present a pathologically confirmed case of XGA with an endometrial abscess; the patient underwent ultrasonography, computed tomography, and magnetic resonance imaging. To the best of our knowledge, this is the first case of XGA with uterine and right adnexal involvement presenting as a complicated pelvic abscess on radiological imaging.
authors.affiliation: Department of Radiology, Faculty of Medicine, Dokuz Eylul University, Mithatpaşa Cad. Inciralti, 35340, Izmir, Turkey. cananaltay@yahoo.com.
authors.forename: Canan
authors.initials: C
authors.lastname: Altay
authors.affiliation: Department of Radiology, Faculty of Medicine, Dokuz Eylul University, Mithatpaşa Cad. Inciralti, 35340, Izmir, Turkey. esradamla2513@gmail.com.
authors.forename: Esra
authors.initials: E
authors.lastname: Yavuz
authors.affiliation: Department of General Surgery, Faculty of Medicine, Dokuz Eylul University, Mithatpaşa Cad. Inciralti, 35340, Izmir, Turkey. tufanegeli@gmail.com.
authors.forename: Tufan
authors.initials: T
authors.lastname: Egeli
authors.affiliation: Department of General Surgery, Faculty of Medicine, Dokuz Eylul University, Mithatpaşa Cad. Inciralti, 35340, Izmir, Turkey. emre.canda@deu.edu.tr.
authors.forename: Emre Aras
authors.initials: EA
authors.lastname: Canda
authors.affiliation: Department of Pathology, Faculty of Medicine, Dokuz Eylul University, Mithatpaşa Cad. Inciralti, 35340, Izmir, Turkey. sulen.sarioglu@deu.edu.tr.
authors.forename: Sulen
authors.initials: S
authors.lastname: Sarioglu
authors.affiliation: Department of Radiology, Faculty of Medicine, Dokuz Eylul University, Mithatpaşa Cad. Inciralti, 35340, Izmir, Turkey. mustafa.secil@deu.edu.tr.
authors.forename: Mustafa
authors.initials: M
authors.lastname: Secil
mesh_terms: D000038:Abscess / Q000175:diagnosis* / Q000209:etiology*; D000368:Aged; D001064:Appendicitis / Q000150:complications* / Q000175:diagnosis; D003937:Diagnosis, Differential; D003952:Diagnostic Imaging / Q000379:methods; D005260:Female; D006801:Humans; D014591:Uterine Diseases / Q000175:diagnosis* / Q000209:etiology*; D014973:Xanthomatosis / Q000150:complications* / Q000175:diagnosis
keywords: Appendix; Endometrial abscess; Xanthogranulomatous inflammation