Altay Canan, Yavuz Esra, Egeli Tufan, Canda Emre Aras, Sarioglu Sulen, Secil Mustafa
Department of Radiology, Faculty of Medicine, Dokuz Eylul University, Mithatpaşa Cad. Inciralti, 35340, Izmir, Turkey.
Department of General Surgery, Faculty of Medicine, Dokuz Eylul University, Mithatpaşa Cad. Inciralti, 35340, Izmir, Turkey.
Wien Klin Wochenschr. 2015 Dec;127(23-24):970-3. doi: 10.1007/s00508-014-0659-5. Epub 2014 Nov 21.
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.
黄色肉芽肿性炎症（XGI）是一种罕见的慢性炎症性疾病，最常累及肾脏和胆囊。该疾病在组织病理学上的特征是存在泡沫状组织细胞、淋巴细胞和浆细胞。英文文献中出现了一些描述由XGI引起的阑尾炎的报告。然而，尚未有研究聚焦于黄色肉芽肿性阑尾炎（XGA）的影像学特征。我们报告一例经病理证实的伴有子宫内膜脓肿的XGA病例；该患者接受了超声检查、计算机断层扫描和磁共振成像。据我们所知，这是首例在影像学上表现为复杂盆腔脓肿且累及子宫和右侧附件的XGA病例。
