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16 As our patient was a nullipara and had bilateral lesion, we wanted to preserve the ovaries. The ovarian mass had clear borders with a pseudocapsule. The normal appearing ovarian tissue was spared and involved ovarian pseudotumour was excised. In another similar report, a patient with subfertility had endometriosis and leiomyoma had to undergo hysterectomy with bilateral salpingo-oophorectomy.3 Owing to extensive destruction, cut section of these lesions shows solid, fragile areas with haemorrhage and necrosis in most of the cases.1 8 10 16 In our case, the lesion was mainly cystic but the cyst wall showed areas of necrosis and haemorrhage. Fertility issues associated with this condition has not been addressed due to rarity of this condition. The patient we reported was cohabitating for 2?years and had not conceived and was only able to conceive after the conservative surgery. As already stated, this destructive lesion mandates complete removal of involved ovaries most of the times. But in our patient, we could save part of ovary which later lead to successful pregnancy outcome. Learning points Xanthomatous oophoritis is a chronic, destructive and inflammatory condition of the ovaries caused due to infection with various microbial agents and characterised by foamy, lipid-rich histiocytes, eosinophils, lymphocytes, macrophages and plasma cells. It may mimic benign or malignant ovarian tumours, endometriomas and tubercular tubo-ovarian masses. Diagnosis can be made only after histopathology. Clinical features may vary from menstrual disorders like polymenorrhea, menorrhagia and dysmenorrhoea, pelvic pain and abdominopelvic masses. MRI may reveal well-defined, thick-walled, septated, cystic lesions appearing hyperintense on both T1-weighted (T1w) and T2w images with peripheral and septal enhancement. Conservative surgery including removal of involved inflammatory mass and sparing the healthy appearing ovarian tissue can improve fertility in these patients. Footnotes Competing interests: None. Patient consent: Obtained. Provenance and peer review: Not commissioned; externally peer reviewed.""There has been an important epidemiological inversion in the AIDS incidence and prevalence curves. Owing to a highly effective antiretroviral therapy and HIV prevention campaigns, there was a reduction in its incidence and a prevalence increase in the past decade. Nevertheless, in 2010, the World Health Organization (WHO) estimated 2.7 million new cases all over the world, a number that is still inaccurate.1 This reduction is the result of programmes learn more developed by WHO and United Nations Programme on AIDS (UNAIDS) that motivate the performance of diagnostic tests for AIDS and educational orientation on the theme, facts that make early diagnosis and treatment easier. HIV is related to several diseases, especially neoplasias like Kaposi��s sarcoma and haematological tumours.