Xanthogranulomatous Appendicitis: A Rare Case Report

• Main Authors: Nikhil Mehrotra, Surekha U. Arakeri
• Format: Article
• Language: English
• Published: Krishna Institute of Medical Sciences University 2017-07-01
• Series: Journal of Krishna Institute of Medical Sciences University
• Subjects: Appendix; Periappendicular Tissue; Xanthogranulomatous Inflammation
• Online Access: http://www.jkimsu.com/jkimsu-vol6no3/JKIMSU,%20Vol.%206,%20No.%203,%20July-September%202017%20Page%20125-128.pdf

Xanthogranulomatous inflammation is a form of chronic inflammation where the exact eitiology is not known. It is commonly reported in organs like kidney and gall bladder Very few cases of xanthogranulomatous inflammation of appendix have been reported in the literature. We report a case of 30 year female presenting with pain abdomen and fever for which provisional diagnosis of appendicitis was made. Open appendicectomy was performed which on intraoperative examination showed that appendix was adherent to surrounding structures forming a mass. Resection of the mass was done and sent for histopathological examination. Gross examination of the received specimen revealed multiple irregular tissue bits and one tubular tissue bit. Multiple sections studied from resected tissue showed features of xanthogranulomatous inflammation in appendix and periappendicular tissue.