Xanthogranulomatous inflammation of the perimetrium with infiltration into the uterine myometrium in a postmenopausal woman: A case report

フォーマット:

論文

責任表示:

Inoue, Tomoko ; Oda, Katsutoshi ; Arimoto, Takahide ; Samejima, Taiki ; Takazawa, Yutaka ; Maeda, Daichi ; Fukayama, Masashi ; Kawana, Kei ; Osuga, Yutaka ; Fujii, Tomoyuki ; 前田, 大地

言語:

英語

出版情報:

BMC, 2014-07-15

著者名:

Inoue, Tomoko

Oda, Katsutoshi

Arimoto, Takahide

Samejima, Taiki

Takazawa, Yutaka

Maeda, Daichi

Fukayama, Masashi

Kawana, Kei

Osuga, Yutaka

Fujii, Tomoyuki

前田, 大地

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掲載情報:

BMC Women's Health

ISSN:

1472-6874      

巻:

14

通号:

1

開始ページ:

82

バージョン:

publisher

概要:

金沢大学医薬保健研究域医学系<br />Background: Xanthogranulomatous inflammation is an uncommon form of chronic inflammation that is destructive to the normal tissue of affected organs. Although xanthogranulomatous endometritis and xanthogranulomatou … s salpingitis of the female genital tract has been described previously, to the best of our knowledge, this is the first report of xanthogranulomatous inflammation with infiltration into the uterine myometrium from the perimetrium without endometritis.Case presentation: A 68-year-old Japanese woman with intermittent lower abdominal pain and low-grade fever who was initially treated with antibiotics underwent hysterectomy due to abscess formation in the posterior wall of the myometrium and perimetrium (the outer serosal layer of the uterus). Histopathological findings revealed that the abscess was caused by xanthogranulomatous inflammation with the granulation tissue and chronic inflammatory cells that consisted of focal and sheets of foam cells. The inflammation destroyed the perimetrial elastic lamina, and the myometrium was deeply infiltrated by the xanthoma cells. Neither endometritis nor salpingitis was coexistent with the xanthogranulomatous inflammation.Conclusion: The patient was diagnosed as xanthogranulomatous inflammation, most likely arising from the perimetrium. Our findings suggest that the perimetrium, as well as the endometrium and adnexae, is one of the origins of xanthogranulomatous inflammation in female genital tract. © 2014 Inoue et al.; licensee BioMed Central Ltd. 続きを見る

URL:

http://hdl.handle.net/2297/00062683