Rare case of non-healing episiotomy wound: a diagnostic Challenge

We report a case of 28-year old post partum woman who presented in our hospital with the complaints of a non healing episiotomy wound and fever. Examination revealed gaping of the episiotomy wound and a small mass with no active vaginal bleeding. Laboratory investigations showed low haemoglobin, mildly raised total leucocyte count and raised ESR. Histologically it was well characterized by infiltration of the tissue by lipid-laden histiocytes and inflammatory cells and was suggestive of xanthogranulomatous inflammation. It usually poses diagnostic and therapeutic challenges for the clinician. To the best of our knowledge xanthogranulomatous inflammation associated with the non-healing episiotomy wound has never been reported.