Xanthogranulomatous salphingitis and pseudoxanthomatous salphingitis are rare forms of chronic inflammation of the fallopian tube with many etiologic factors implicated in its pathogenesis. A 26 year old female was operated for a right ovarian cyst. Ovarian cyst with bilateral fallopian tubes were removed since both the fallopian tubes were dilated and adherent to the adjacent tissues. One tube showed features of Xanthogranulomatous salphingitis and other pseudoxanthomatous salphingitis. Ovarian cyst was a corpus luteal cyst. Although the exact etiology for this case was not clear, endometriosis can be thought to have a contributory role in the pathogenesis as the patient had severe dysmenorrhoea and severe adhesions were noted intraoperatively. Both Xanthogranulomatous salphingitis and pseudoxanthomatous salphingitis were reported separately by many authors. But, both these conditions in one patient to my knowledge is not yet reported in literature. Hence, this case is reported for its rarity.
