Xanthogranulomatous Salpingo-oophoritis: A case report

A report describes the case of a 48-year-old P4L4 woman who complained of chronic lower abdominal pain and frequent heavy menses for two months. She documented no significant medical or family history and had unremarkable findings on general examination. Abdominal examination revealed a non-tender mass equivalent to a 24-week pregnancy, which was confirmed during vaginal examination but was found to be separate from the uterus. A PAP smear showed no intraepithelial lesion or malignancy (NILM). Ultrasound revealed bilateral mild hydroureteronephrosis with uterine adenomyoma, bilateral adnexal cystic lesions indicating endometrioma (Right: 13x10 cm, Left: 6x4 cm), and left hydrosalpinx (11x8.4 cm).

A hysterectomy with bilateral salpingo-oophorectomy and bilateral ureteric stenting was performed. Intra-operatively, the uterine size was measured at 10-12 weeks with bilateral tubo-ovarian masses (Right: ~15x12 cm, Left: 6x7 cm). The bilateral ovarian masses were densely adhered to the bowel posteriorly. The frozen section indicated benign cysts. The final histopathological examination revealed uterine adenomyosis and chronic cervicitis with xanthogranulomatous salpingo-oophoritis. The patient showed a good recovery and was doing well on follow-up.

Das A, Goyal M, Singh AS, et al. A Rare Case of Xanthogranulomatous Salpingo-oophoritis. Indian J Obstet Gynecol. 2024;12(1):35-39