Title:Contrast-enhanced Ultrasound of Xanthogranulomatous Endometritis: A Case
Report and Literature Review
Volume: 20
Author(s): Hailan Wu, Juan Liu, Li Chen*Juan Peng
Affiliation:
- Department of Ultrasound, First Affiliated Hospital of Nanchang University, Nanchang 330000, China
Keywords:
Endometritis, Ultrasonography, Xanthogranulomatous inflammation, CEUS, Cancer, Diagnosis.
Abstract:
Introduction:
Xanthogranulomatous endometritis (XGE) is a rare inflammatory disease, which can easily misdiagnose as cancer in imaging diagnosis. Diagnosis
of XGE relies on histopathological examination and immunohistochemistry.
Case Presentation:
In this study, a case of a 72-year-old female with XGE and elevated CA125 is presented, which was misdiagnosed as endometrial cancer in
transvaginal ultrasonography and ovarian cystadenocarcinoma in CT. However, the features of XGE on the contrast-enhanced ultrasound (CEUS)
were different from that of endometrial cancer. The patient finally underwent laparoscopic hysterectomy and bilateral adnexectomy.
Discussion:
The histopathological examination and immunohistochemistry suggested xanthogranulomatous endometritis (histiocytic endometritis). This case
report manifests that CEUS may be a new noninvasive diagnostic method for XGE, which may reduce extensive tissue sampling and unnecessary
hysterectomies for patients.
