Xanthogranulomatous abscess with fistula in colon: a case report with rare complication

Xanthogranulomatous inflammation is an uncommon chronic inflammation in affected organ in which there replacement number of lipid containing macrophages and admixture of lymphocytes, plasma cells and multinucleated giant cells. We report a case of 30 year old female who presented with lower abdominal pain and tenderness since 5 months. She also had difficulty in passing stool since 15 days. USG showed a large heterogeneous cystic lesion in left lower abdomen and left sided mild hydroureteronephrosis. A plain CT with rectal contrast revealed fistula formation between left ovarian lesion and colon.