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학술저널
저자정보
Díaz Andrés Ramiro Lanza (Division of Colorectal Surgery Department of Surgery Hospital Central Militar Secretaría de la Defensa Nacional) Pezet Santiago Gallardo (Division of Colorectal Surgery Department of Surgery Hospital Central Militar Secretaría de la Defensa Nacional) González Osvaldo Soto (Department of Pathology Hospital Central Militar Secretaría de la Defensa Nacional) Trueba Montserrat Guraieb (Division of Colorectal Surgery Department of Surgery Hospital Central Militar Secretaría de la Defensa Nacional) Alonso Ivan Azael Martínez (Department of Urology Hospital Central Militar Secretaría de la Defensa Nacional) Ramirez Mario Alberto López (Division of Colorectal Surgery Department of Surgery Hospital Central Militar Secretaría de la Defensa Nacional)
저널정보
대한대장항문학회 Annals of Coloproctology Annals of Coloproctolgy Vol.39 No.2
발행연도
2023.4
수록면
178 - 182 (5page)
DOI
10.3393/ac.2021.00178.0025

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Malakoplakia is a rare granulomatous inflammatory disorder. Its diagnosis depends on histopathological findings; however, high-quality literature regarding proper medical/surgical treatment is lacking. A 38-year-old diabetic female patient was admitted to the emergency room with a history of lower gastrointestinal hemorrhage. Colonoscopy revealed a lesion in the descending colon, and abdominal computed tomography revealed a splenic flexure mass involving the lower pole of the spleen and upper pole of the left kidney. Biopsies confirmed the diagnosis of malakoplakia. After completing antibiotic treatment, a restaging computed tomography revealed a discrete mass increase; hence, the patient underwent laparoscopic <i>en bloc</i> colectomy and partial nephrectomy. Postoperatively, the patient developed a pancreatic fistula, which was successfully treated with percutaneous drainage and antibiotics. The presence of pathognomonic Michaelis-Gutmann inclusions on histopathology is frequently reported as the key to diagnosing malakoplakia. Herein, we present a successful, minimally invasive surgical treatment for colonic malakoplakia.

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