Xanthogranulomatous inflammation is a distinguished histopathological entity affecting several organs, most commonly involving the kidney and gall bladder. The most common symptoms of xanthogranulomatous endometritis are irregular coporrhagia, discharge, cervical stenosis and pyometra. It is commonly mistaken for malignancy clinicoradiologically, and therefore, histopathological examination is of utmost importance. Only a small number of cases of xanthogranulomatous endometritis (XGE) have been reported in the literature so far. Microscopic examination shows sheets of foamy histiocytes along with other inflammatory cells on H&E stained sections. This study presents a case of a 31-year-old female with a complaint of inability to conceive for 3 years and having a history of previous 3 tubal pregnancies. Hysteroscopy examination reveals fluffy endometrium and patent bilateral fornices with normal cervical mucosa. Dilatation and curettage were done and sent for histopathological examination, and a diagnosis of Xanthogranulomatous Endometritis was made. As XGE is a rare inflammatory disease, awareness of this lesion is necessary for both the gynaecologist and pathologist and should be kept in differential diagnosis in the cases of infertility.
Author
(s) Details
Rani E.
GGSMCH Faridkot, Punjab, India.
Please see the book here:- https://doi.org/10.9734/bpi/dhrd/v6/4655
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