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1.
Obstetrics & Gynecology Science ; : 411-414, 2016.
Article in English | WPRIM | ID: wpr-129962

ABSTRACT

Xanthogranuloma is a non-neoplastic presentation of chronic inflammation commonly seen in gallbladder, kidney and rarely seen in genital organs. Only one case has been reported in cervix. Here, we report a case of 60-year-old postmenopausal lady who presented with history of fever and purulent discharge per-vaginum. On speculum examination, cervix had an ulcer extending from 3 to 5 o'clock position. Uterus was bulky. On probing the ulcer, a 1-cm deep sinus was identified. Ultrasound showed enlarged uterus and fluid collection suggestive of pyometra. Pyometra was drained and cervical biopsy was taken from the ulcerated lesion; histopathology revealed granulomatous inflammation with predominantly xanthous cells suggestive of tuberculosis. High index of clinical suspicion needs to be maintained in abnormal cervix. It is a perplexing and rare entity for a clinician and also a diagnosis of exclusion; only histopathology can help for diagnosis. It mimics like malignancy and chronic infections.


Subject(s)
Female , Humans , Middle Aged , Biopsy , Cervix Uteri , Diagnosis , Fever , Gallbladder , Genitalia , Inflammation , Kidney , Pyometra , Surgical Instruments , Tuberculosis , Ulcer , Ultrasonography , Uterus
2.
Obstetrics & Gynecology Science ; : 411-414, 2016.
Article in English | WPRIM | ID: wpr-129948

ABSTRACT

Xanthogranuloma is a non-neoplastic presentation of chronic inflammation commonly seen in gallbladder, kidney and rarely seen in genital organs. Only one case has been reported in cervix. Here, we report a case of 60-year-old postmenopausal lady who presented with history of fever and purulent discharge per-vaginum. On speculum examination, cervix had an ulcer extending from 3 to 5 o'clock position. Uterus was bulky. On probing the ulcer, a 1-cm deep sinus was identified. Ultrasound showed enlarged uterus and fluid collection suggestive of pyometra. Pyometra was drained and cervical biopsy was taken from the ulcerated lesion; histopathology revealed granulomatous inflammation with predominantly xanthous cells suggestive of tuberculosis. High index of clinical suspicion needs to be maintained in abnormal cervix. It is a perplexing and rare entity for a clinician and also a diagnosis of exclusion; only histopathology can help for diagnosis. It mimics like malignancy and chronic infections.


Subject(s)
Female , Humans , Middle Aged , Biopsy , Cervix Uteri , Diagnosis , Fever , Gallbladder , Genitalia , Inflammation , Kidney , Pyometra , Surgical Instruments , Tuberculosis , Ulcer , Ultrasonography , Uterus
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