Title: Pyometra Associated with Xanthogranulomatous Endometritis (XGE): A Case Report
Authors: Bandana Mehrotra, Ashok Kumar Kapoor, Harshit Bajpai, Supriya Mehrotra, Ruchi Shukla, Hari Shyam, Rajesh Kumar Srivastava
DOI: https://dx.doi.org/10.18535/jmscr/v10i11.07
Abstract
Xanthogranulomatous endometritis (XGE) is a rare disease clinically simulating endometrial carcinoma [1,2]. It is a type of chronic inflammation comprising of lipid-laden macrophages (MØ), lymphocytes and multinucleated foreign body giant cells. Current lesion rarely develops in female genital system. So far 20 cases were reported worldwide[3]. Exact etiopathogenesis of the lesion is unknown. Several different bacteria e.g. Peptostreptococcus magnus, Escherichia coli, Klebsiella pneumoniae and Proteus vulgaris had been isolated earlier from similar lesion[4,5]. Present case presented with extensive collection of pus in uterine cavity. However, in the current case, pus culture was sterile and we could not isolate any microbe from pus.
Keywords: Pyogenic infection, foamy macrophages, chronic inflammation, lymphocytes.