Xanthogranulomatous inflammation of the ovary with the uterine adenomatoid tumor in a patient with diabetes mellitus: A case report
Özlem Şengül 1 * , Gülcan Dauletkazin 2, Levent Keskin 2, Sibel Orhun 3, Filiz Avşar 1
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1 Obstetrics and Gynecology Department, Yıldırım Beyazıt University, Ankara, Turkey2 Obstetrics and Gynecology Department, Ankara Atatürk Education and Research Hospital, Ankara, Turkey3 Patology Department, Ankara Atatürk Education and Research Hospital, Ankara, Turkey* Corresponding Author

Abstract

Adenomatoid tumor of the uterus and xanthogranulomatous inflammation of the ovary are very rare lesions. This case report is to document both lesions in a patient with diabetes mellitus. A postmenopausal patient , ultrasonographic examination revealed 72*42mm cystic lesion in adnexial region and 120*40mm sized collection of intraabdominal fluid .The patient had diabetes mellitus for 6 years. Total abdominal hysterectomy and bilateral salphingooferectomy were performed. The pathology report came out as uterin adenomatoid tumor, ovarian xanthogranulomatous inflammation, abcess formation in the same fallopian tube. This is the first reported case, both lesions in the same patient. Immunesupression is the common etiologic factor for both lesions. Uncontrolled diabetes mellitus resulting in impaired leukocyte function and immunocompromised status may be predisposing factors. Preoperative diagnosis of both adenomatoid tumor and xantogranulamatous inflammation may be important in avoiding aggressive surgical intervention but mostly the exact diagnosis can only be made by pathologic examination.

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This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Article Type: Case Report

EUR J GEN MED, Volume 15, Issue 1, February 2018, 33-36

https://doi.org/10.29333/ejgm/81732

Publication date: 03 Jan 2018

Online publication date: 29 Dec 2017

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Article Downloads: 1122

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