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Multivisceral resection for colonic splenic flexure malakoplakia: a case report of a minimally invasive approach
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 g...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Korean Society of Coloproctology
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10169562/ https://www.ncbi.nlm.nih.gov/pubmed/34284559 http://dx.doi.org/10.3393/ac.2021.00178.0025 |
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author | Díaz, Andrés Ramiro Lanza Pezet, Santiago Gallardo González, Osvaldo Soto Trueba, Montserrat Guraieb Alonso, Ivan Azael Martínez Ramirez, Mario Alberto López |
author_facet | Díaz, Andrés Ramiro Lanza Pezet, Santiago Gallardo González, Osvaldo Soto Trueba, Montserrat Guraieb Alonso, Ivan Azael Martínez Ramirez, Mario Alberto López |
author_sort | Díaz, Andrés Ramiro Lanza |
collection | PubMed |
description | 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 en bloc 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. |
format | Online Article Text |
id | pubmed-10169562 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Korean Society of Coloproctology |
record_format | MEDLINE/PubMed |
spelling | pubmed-101695622023-05-11 Multivisceral resection for colonic splenic flexure malakoplakia: a case report of a minimally invasive approach Díaz, Andrés Ramiro Lanza Pezet, Santiago Gallardo González, Osvaldo Soto Trueba, Montserrat Guraieb Alonso, Ivan Azael Martínez Ramirez, Mario Alberto López Ann Coloproctol Case Report 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 en bloc 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. Korean Society of Coloproctology 2023-04 2021-07-21 /pmc/articles/PMC10169562/ /pubmed/34284559 http://dx.doi.org/10.3393/ac.2021.00178.0025 Text en Copyright © 2023 The Korean Society of Coloproctology https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) ) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Díaz, Andrés Ramiro Lanza Pezet, Santiago Gallardo González, Osvaldo Soto Trueba, Montserrat Guraieb Alonso, Ivan Azael Martínez Ramirez, Mario Alberto López Multivisceral resection for colonic splenic flexure malakoplakia: a case report of a minimally invasive approach |
title | Multivisceral resection for colonic splenic flexure malakoplakia: a case report of a minimally invasive approach |
title_full | Multivisceral resection for colonic splenic flexure malakoplakia: a case report of a minimally invasive approach |
title_fullStr | Multivisceral resection for colonic splenic flexure malakoplakia: a case report of a minimally invasive approach |
title_full_unstemmed | Multivisceral resection for colonic splenic flexure malakoplakia: a case report of a minimally invasive approach |
title_short | Multivisceral resection for colonic splenic flexure malakoplakia: a case report of a minimally invasive approach |
title_sort | multivisceral resection for colonic splenic flexure malakoplakia: a case report of a minimally invasive approach |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10169562/ https://www.ncbi.nlm.nih.gov/pubmed/34284559 http://dx.doi.org/10.3393/ac.2021.00178.0025 |
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