BACKGROUND Xanthogranulomatous inflammation is a clinical finding described commonly in kidney and gallbladder, but xanthogranulomatous appendicitis is rare and very few cases have been reported so far. We report a case of a 56-year-old lady who presented with acute pain in Rt lower quadrant of abdomen along with nausea. Ultrasonography was inconclusive and with clinical impression of acute appendicitis, the patient underwent appendicectomy. Histologically, a diagnosis of xanthogranulomatous appendicitis was made.
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