Gami Neha, Mundhra Rajlaxmi, Guleria Kiran, Arora Vinod Kumar, Garg Shipra
Department of Obstetrics and Gynecology, University College of Medical Sciences and Guru Teg Bahadur Hospital, New Delhi, India.
Department of Pathology, University College of Medical Sciences and Guru Teg Bahadur Hospital, New Delhi, India.
J Midlife Health. 2014 Jul;5(3):156-8. doi: 10.4103/0976-7800.141227.
Xanthogranulomatous inflammation is a rare, non-neoplastic variant of chronic inflammation. Of the 15 reported cases of Xanthogranulomatous endometritis, majority (60%) were accompanied by endometrial carcinoma. We herein report a case of a postmenopausal woman presenting with recurrent pyometra who was suspected to be case of cervical tuberculosis and treated for the same. Inspite of antitubercular therapy, she had cervical stenosis and developed recurrent pyometra over the next 2 years requiring repeated drainage. She then underwent hysterectomy and was found to have co-existent Xanthogranulomatous salpingitis (XGS) on histopathological examination. Xanthogranulomatous inflammation is a rare pathological diagnosis that gynecologists need to be aware of while managing such patients.
黄色肉芽肿性炎症是一种罕见的慢性炎症的非肿瘤性变体。在已报道的15例黄色肉芽肿性子宫内膜炎病例中，大多数（60%）伴有子宫内膜癌。我们在此报告一例绝经后妇女，表现为复发性积脓，怀疑为宫颈结核并接受了相应治疗。尽管进行了抗结核治疗，但她仍有宫颈狭窄，并在接下来的2年中出现复发性积脓，需要反复引流。随后她接受了子宫切除术，组织病理学检查发现并存黄色肉芽肿性输卵管炎（XGS）。黄色肉芽肿性炎症是一种罕见的病理诊断，妇科医生在处理此类患者时需要了解。
