Cervical xanthogranuloma in a case of postmenopausal pyometra
Obstetrics & Gynecology Science
; : 411-414, 2016.
Article
em En
| WPRIM
| ID: wpr-129962
Biblioteca responsável:
WPRO
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.
Palavras-chave
Texto completo:
1
Índice:
WPRIM
Assunto principal:
Instrumentos Cirúrgicos
/
Tuberculose
/
Úlcera
/
Útero
/
Biópsia
/
Colo do Útero
/
Ultrassonografia
/
Diagnóstico
/
Piometra
/
Febre
Tipo de estudo:
Diagnostic_studies
Limite:
Female
/
Humans
Idioma:
En
Revista:
Obstetrics & Gynecology Science
Ano de publicação:
2016
Tipo de documento:
Article