Russell body cervicitis: A case report and literature review highlighting diagnostic pitfalls

Russell bodies have been observed in various inflammatory and neoplastic conditions, although their presence in the female genital tract is rare, with fewer than ten documented cases of Russell body cervicitis. This case report appears to be the first of Russell body cervicitis identified during pre...

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Main Authors: Lalani De Silva, Kaumadi Udeshika, Sinha De Silva, Priyani Amarathunga
Format: Article
Language:English
Published: Elsevier 2025-06-01
Series:Case Reports in Women's Health
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Online Access:http://www.sciencedirect.com/science/article/pii/S2214911225000281
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author Lalani De Silva
Kaumadi Udeshika
Sinha De Silva
Priyani Amarathunga
author_facet Lalani De Silva
Kaumadi Udeshika
Sinha De Silva
Priyani Amarathunga
author_sort Lalani De Silva
collection DOAJ
description Russell bodies have been observed in various inflammatory and neoplastic conditions, although their presence in the female genital tract is rare, with fewer than ten documented cases of Russell body cervicitis. This case report appears to be the first of Russell body cervicitis identified during pregnancy. A 28-year-old woman, at 20 weeks of gestation, underwent a cervical polypectomy after a polyp was detected incidentally during a cervical cerclage procedure. Pathological examination revealed an inflamed endocervical polyp with predominant plasma cell infiltrate. Most of the plasma cells contained intracytoplasmic Russell bodies and there were some Mott cells. Immunohistochemical stains confirmed the polyclonal nature of the plasma cell infiltrate.This report highlights the diagnostic challenges associated with Russell body cervicitis, given its rarity and histological resemblance to other inflammatory and neoplastic conditions. A review of the literature reveals that the few reported cases presented as a non-neoplastic process during reproductive age, with an uneventful follow-up. This report contributes to the limited knowledge of Russell body cervicitis, particularly in the context of pregnancy.
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series Case Reports in Women's Health
spelling doaj-art-ece0a8d08d4b4fd5a5df60e752ac0fd12025-08-20T02:17:41ZengElsevierCase Reports in Women's Health2214-91122025-06-0146e0070710.1016/j.crwh.2025.e00707Russell body cervicitis: A case report and literature review highlighting diagnostic pitfallsLalani De Silva0Kaumadi Udeshika1Sinha De Silva2Priyani Amarathunga3Faculty of Medicine, University of Colombo, Colombo, Sri Lanka; Corresponding author at: Department of Pathology, Faculty of Medicine, 25, Kinsey Road, Colombo 08, Sri Lanka.Faculty of Medicine, University of Colombo, Colombo, Sri LankaMinistry of Health, Sri LankaFaculty of Medicine, University of Colombo, Colombo, Sri LankaRussell bodies have been observed in various inflammatory and neoplastic conditions, although their presence in the female genital tract is rare, with fewer than ten documented cases of Russell body cervicitis. This case report appears to be the first of Russell body cervicitis identified during pregnancy. A 28-year-old woman, at 20 weeks of gestation, underwent a cervical polypectomy after a polyp was detected incidentally during a cervical cerclage procedure. Pathological examination revealed an inflamed endocervical polyp with predominant plasma cell infiltrate. Most of the plasma cells contained intracytoplasmic Russell bodies and there were some Mott cells. Immunohistochemical stains confirmed the polyclonal nature of the plasma cell infiltrate.This report highlights the diagnostic challenges associated with Russell body cervicitis, given its rarity and histological resemblance to other inflammatory and neoplastic conditions. A review of the literature reveals that the few reported cases presented as a non-neoplastic process during reproductive age, with an uneventful follow-up. This report contributes to the limited knowledge of Russell body cervicitis, particularly in the context of pregnancy.http://www.sciencedirect.com/science/article/pii/S2214911225000281Russell bodyCervicitisPregnancyPlasma cellsCervical polyps
spellingShingle Lalani De Silva
Kaumadi Udeshika
Sinha De Silva
Priyani Amarathunga
Russell body cervicitis: A case report and literature review highlighting diagnostic pitfalls
Case Reports in Women's Health
Russell body
Cervicitis
Pregnancy
Plasma cells
Cervical polyps
title Russell body cervicitis: A case report and literature review highlighting diagnostic pitfalls
title_full Russell body cervicitis: A case report and literature review highlighting diagnostic pitfalls
title_fullStr Russell body cervicitis: A case report and literature review highlighting diagnostic pitfalls
title_full_unstemmed Russell body cervicitis: A case report and literature review highlighting diagnostic pitfalls
title_short Russell body cervicitis: A case report and literature review highlighting diagnostic pitfalls
title_sort russell body cervicitis a case report and literature review highlighting diagnostic pitfalls
topic Russell body
Cervicitis
Pregnancy
Plasma cells
Cervical polyps
url http://www.sciencedirect.com/science/article/pii/S2214911225000281
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AT sinhadesilva russellbodycervicitisacasereportandliteraturereviewhighlightingdiagnosticpitfalls
AT priyaniamarathunga russellbodycervicitisacasereportandliteraturereviewhighlightingdiagnosticpitfalls