Abstract
A rare example of xanthogranulomatous inflammatory mass and abscess of a Mullerian duct remnant involving the anorectal area is reported. A barium enema showed a bilobed precoccygeal mass of moderate size involving the posterior aspect of the distal rectum. Computed tomography (CT) showed two nonfatty, round masses, one of which contained a small central cystic area. The other mass had a homogeneous appearance and was believed to be in the wall of the rectum. The pathologic specimen showed organizing abscesses and a chronic xanthogranulomatous inflammation in tissue compatible with urogenital tissue, presumably a Mullerian duct remnant. This is the first documented report of anorectal xanthogranulomatous abscess in a Mullerian duct remnant with radiologic findings and histopathologic correlation. Though rare, this lesion should be considered in the differential diagnosis of extrinsic and intramural rectal masses seen on barium enema and CT examinations.
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References
Malek RS, Elder JS. Xanthogranulomatous pyelonephritis: a critical analysis of 26 casese and of the literature. J Urol 1978;119:589–93.
Giffel B, Cordoba M. Verruciform xanthoma in the anal region. Am J Proctol Gastroenterol Colon Rectal Surg 1980;31:24–5.
Haimoff H, Dintsman M, Kessler E. Xanthogranuloma of the peri-anal region: a case report. Am J Proctol 1971;22:123–5.
Gidwani GP, Ballard LA Jr, Lavery IC. Xanthogranuloma of the vagina. Cleve Clin Q 1979;46:163–6.
Mast A, Elewaut A, Mortier G, et al. Gastric xanthoma. Am J Gastroenterol 1976;65:311–7.
Christensen AH, Ishak KG. Benign tumors and pseudotumors of the gallbladder: report of 180 cases. Arch Pathol 1970;90:423–32.
McCaffery TD Jr. Xanthomas of the stomach. Gastrointest Endosc 1975;21:167–8.
Mishkel MA, Cockshott WP, Nazir DJ, Rosenthal D, Spaulding WP, Wynn-Williams A. Xanthoma disseminatum: clinical, metabolic, pathologic, and radiologic aspects. Arch Dermatol 1977;113:1094–1100.
Graivier L, Vargas MA. Xanthogranulomatous pyelonephritis in childhood. Am J Dis Child 1972;123:156–8.
Malek RS, Greene LF, DeWeerd JH, Farrow GM. Xanthogranulomatous pyelonephritis. Br J Urol 1972;44:296–308.
Moller JC, Kristensen IB. Xanthogranulomatous pyelonephritis: a clinico-pathological study with special reference to pathogenesis. Acta Pathol Microbiol Immunol Scand [A] 1980;88:89–96.
Hatch CS, Cockett AT. Xanthogranulomatous pyelonephritis. J Urol 1964;92:585–8.
Mering JH, Kaplan GW, McLaughlin AP III. Xanthogranulomatous pyelonephritis: unusual clinical presentations. Urology 1973;1:338–42.
Tan HK, Heptinstall RH. Experimental pyelonephritis: a light and electron microscopic study of the periodic acid-schiff positive interstitial cell. Lab Invest 1969;20:62–9.
Marshak RH, Lindner AE, Maklansky D, eds. Radiology of the colon. Philadelphia: WB Saunders, 1980:524–60.
Teplick SK, Stark P, Clark RE, Metz JR, Shapiro JH. The retrorectal space. Clin Radiol 1978;29:177–84.
Campbell WL, Wolff M. Retrorectal cysts of developmental origin. AJR 1973;117:307–13.
Kauffman GL Jr. Anorectal abscess. In: Wilson SE, Finegold SM, Williams RA, eds. Intra-abdominal infection. New York: McGraw-Hill, 1982;244–57.
Utne JR, Pugh DG. The roentgenologic aspects of chordoma. AJR 1955;74:593–608.
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Davis, M., Whitley, M.E., Haque, A.K. et al. Xanthogranulomatous abscess of a Mullerian duct remnant. Dis Colon Rectum 29, 755–759 (1986). https://doi.org/10.1007/BF02555328
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DOI: https://doi.org/10.1007/BF02555328