Bilateral xanthogranulomatous oophoritis with multiple liver abscesses secondary to Actinomycosis

Mohammad HANAFIAH,^1,3 Benny YOUNG, ²  LOW Soo Fin, ³ Bushra JOHARI ¹

¹ Medical Imaging Department, Clinical Training Centre, Universiti Teknologi MARA, Selangor, Malaysia, ² Faculty of Medical and Health Science, UNIMAS, Sarawak, Malaysia, ³ Department of Radiology, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, Malaysia

ABSTRACT

Pelvic inflammatory disease usually results from ascending cervical or vaginal infection and is often polymicrobial, with usually anaerobic microbial. Xanthogranuloma is a specific type of manifestation of an inflammatory response that may affect various organs usually in association with chronic infection. Xanthogranulomatous oophoritis is a very rare entity and is refers to such inflammatory response affecting the ovaries, frequently complicating a chronic pelvic inflammatory disease (PID). We report a case of bilateral xanthogranulomatous oophoritis secondary to actinomycosis that was associated with multiple liver abscesses, and described the radiological findings.

Keywords: Xanthogranuloma, pelvic inflammatory disease, infection, abscesses

Correspondence author: Bushra JOHARI, Faculty of Medicine, Universiti Teknologi MARA, 47000 Sungai Buloh, Selangor, Malaysia. +6012-3729495 (mobile), +603-61265164,

E mail: drbushra@salam.uitm.edu.my

 Brunei Int Med J. 2014; 10 (6): 329-333