The xanthogranulomatous type of inflammation is most-commonly seen in pyelonephritis and cholecystitis, although it has more recently been described in an array of other locations including bronchi, lung, endometrium, vagina, fallopian tubes, ovary, testis, epydidymis, stomach, colon, ileum, pancreas, bone, lymph nodes, bladder, adrenal gland, abdomen and muscle.[5] Telling apart clinically a XP from a tumor condition can be challenging as pointed out by several authors. Cozzutto and Carbone suggested that a wide array of entities characterized by a large content of histiocytes and foamy macrophages could be traced back at least in part to a xanthogranulomatous inflammation.[2] These include such varied disturbances as xanthoma disseminatum,[6] ceroid granuloma of the gallbladder, Whipple's disease,[7] inflammatory pseudotumor of the lung,[8][9] plasma cell granuloma of the lung,[10] malakoplakia,[11] verruciform xanthoma, foamy histiocytosis of the spleen in thrombocytopenic purpura,[12][13] isolated xanthoma of the small bowel,[14] xanthofibroma of bone,[15] and gastric xanthelasma.