title: Xanthogranulomatous Oophoritis Presenting as an Adnexal Mass and Bowel Obstruction. A Case Report.
abstract: BACKGROUND
  Xanthogranulomatous inflammation of the female genital tract is a rare entity. When the gynecological organs are affected, it is particularly unusual for xanthogranulomataus inflammation to involve only the ovary.
  
  
  METHODS
  A 45-year-old woman with an intrauterine device, long-term exposure to nicotine, and hyperlipidemia presented with an adnexal mass and bowel obstruction. She underwent 2 exploratory laparotomies, ureteral stent placement, left salpingooophorectomy, and rectosigmoid resection with end colostomy. Pathology revealed xanthogranulomatous oophoritis without involvement of the associated fallopian tube.
  
  
  CONCLUSIONS
  The synergistic effects of intrauterine device use, abnormal lipid levels, and long-term nicotine exposure may have contributed to the development of this patient's condition. Knowledge of xanthogranulomatous inflammation is essential to avoid misdiagnosis of malignancy and excessive surgical intervention.
authors.forename: Jessica
authors.initials: J
authors.lastname: Son
authors.forename: Olga
authors.initials: O
authors.lastname: Raetskaya-Solntseva
authors.forename: Philippe A
authors.initials: PA
authors.lastname: Tirman
authors.forename: Gregory S
authors.initials: GS
authors.lastname: Waters
authors.forename: Michael G
authors.initials: MG
authors.lastname: Kelly
mesh_terms: D005260:Female; D006801:Humans; D006949:Hyperlipidemias; D007415:Intestinal Obstruction / Q000209:etiology*; D007434:Intrauterine Devices; D008875:Middle Aged; D009869:Oophoritis / Q000175:diagnosis*; D012810:Sigmoid Diseases / Q000209:etiology*; D012907:Smoking; D014057:Tomography, X-Ray Computed; D018615:Ultrasonography, Doppler, Color; D014973:Xanthomatosis / Q000175:diagnosis*