International Journal of Clinical Obstetrics and Gynaecology
2025, Vol. 9, Issue 6, Part C
A rare case of carbon particle accumulation in ovarian tissue with granulomatous inflammation in a postmenopausal female
Author(s): Tanvi Chaudhary and Shveta Giri
Abstract: Ovarian cyst formation during the postmenopausal phase represents a common yet diagnostically challenging presentation in clinical gynaecologic oncology practice. This case report describes an exceptional clinical scenario wherein histopathological examination revealed carbon particle deposition within ovarian tissue accompanied by foreign body granulomatous inflammation. A 45-year-old multiparous female presenting with recurrent abdominal pain and imaging evidence of a complex multiloculated adnexal mass underwent robotic-assisted laparoscopic removal of the affected ovary. Histomorphologic analysis identified simple cortical cysts and follicular cysts interspersed with carbonaceous particles eliciting a foreign body-type inflammatory response. This presentation introduces environmental particulate exposure as a heretofore undocumented etiopathogenic mechanism in postmenopausal ovarian cystogenesis, with implications for contemporary understanding of environmental contributions to female reproductive pathology. The case underscores the necessity for systematic evaluation of etiologic factors in recurrent postmenopausal ovarian pathology and highlights the potential role of atmospheric pollution in the pathophysiology of benign adnexal disease.
Tanvi Chaudhary, Shveta Giri. A rare case of carbon particle accumulation in ovarian tissue with granulomatous inflammation in a postmenopausal female. Int J Clin Obstet Gynaecol 2025;9(6):185-188. DOI: 10.33545/gynae.2025.v9.i6c.1742
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