A case of xanthogranulomatous oophoritis developed in a virgin.

Koh, Min Whan; Kim, Jin Hee; Kim, Mi Jin

Case Report

Korean Journal of Obstetrics & Gynecology 2007;50(7):1048-1052.
Published online July 1, 2007.

A case of xanthogranulomatous oophoritis developed in a virgin.

¹Department of Obstetrics and Gynecology, College of Medicine, Yeungnam University Daegu, Korea. kohmw@ynu.ac.kr
²Department of Pathology, College of Medicine, Yeungnam University Daegu, Korea.

Abstract

Xanthogranulomatous inflammation is an uncommon form of chronic granulomatous inflammation that is characterized by the presence of lipid-filled histiocytes with lymphocytes, plasma cells and neutrophils. It is best known to occur in the kidney. Other organs in which xanthogranulomatous inflammation has been reported are the gallbladder, stomach, anorectal area, bone, urinary bladder, testis, epididymis and female genital tract. Only a few cases of xanthogranulomatous oophoritis have been reported to date. Infection has been thought to be the main etiologic factor in the pathogenesis of xanthogranulomatous lesion. The pathogenesis of xanthogranulomatous inflammation remains still unclear. Other proposed causes are abnormality in lipid metabolism, endometriosis and ineffective clearance of bacteria by phagocytes. We describe a case of a xanthogranulomatous oophoritis in a 23-year-old virgin which associates with hemorrhagic ovarian cyst and minimal association of pelvic inflammatory disease.

Key Words: Xanthogranulomatous oophoritis, Pelvic inflammatory disease