Renal malakoplakia invading descending colon complicated with bladder malakoplakia: a case report
10.3760/cma.j.cn112330-20230705-00244
- VernacularTitle:肾脏软斑病侵犯降结肠合并膀胱软斑病1例报告
- Author:
Qizhe WU
1
;
Xianghui NING
;
Congwei WANG
;
Jun WANG
;
Jinjian YANG
;
Zhankui JIA
Author Information
1. 郑州大学第一附属医院泌尿外科，郑州 450052
- Keywords:
Malacoplakia;
Kidney;
Bladder;
Granuloma;
Surgical treatment
- From:
Chinese Journal of Urology
2024;45(1):57-58
- CountryChina
- Language:Chinese
-
Abstract:
Malacoplakia is a rare granuloma disease mainly occurred in the urinary system, it is even rarer for renal malacoplakia invading the descending colon complicated with bladder malacoplakia. In this study, one such case was reported. Imaging examination suggested that the left kidney was a large patchy mixed density shadow, and enhancement scan lesion was uneven enhancement. CT guided renal puncture biopsy was performed, and postoperative pathology suggested renal malacoplakia. Transurethral cystoscopy was performed, and postoperative pathology confirmed that it was malacoplakia of the bladder. The effect of conservative antibiotic treatment was not good. The patient underwent radical nephrectomy + left hemicolectomy under general anesthesia, and postoperative pathology confirmed the diagnosis of renal malacoplakia, which involved the mucosa of the intestinal tube and the entire muscular layer. The patient was followed up for 6 months after surgery, and no recurrence was seen on CT.
