Xanthogranulomatous inflammation is a chronic inflammatory process characterised by lipid-filled histiocytes. It is indistinguishable from other infiltrative processes such as malignancy radiologically, but definitive diagnosis hinges on histopathology with immunohistochemistry. While some cases resolve spontaneously, some lead to strictures or visceral perforation. As a result, only some need treatment by either antibiotics or surgery. We present a self-resolving case of pelvic xanthogranulomatous inflammation post-endometrial cancer and adjuvant chemoradiotherapy.
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Hon et al. (2024) studied this question.
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