Xanthogranulomatous Salpingitis Associated with a Large Uterine Leiomyoma

Abstract EN

A case of xanthogranulomatous salpingitis (XGS) associated with a large uterine leiomyoma in a 50-year-old woman is presented.

Xanthogranulomatous inflammation is an uncommon form of chronic inflammation that is destructive to affected organs.

It is characterized by the presence of lipid-filled macrophages with admixed lymphocytes, plasma cells, and neutrophils.

A review of the literature revealed that most patients with XGS have a clinical history of long-standing pelvic inflammatory disease (PID) or, less often, endometriosis.

We report a case lacking a history of either PID or endometriosis but with a concurrent large uterine leiomyoma.

Although the exact etiology in this case was not clear, the leiomyoma may have played a contributory role in pathogenesis.