A rare renal malakoplakia mimicking renal tumor presenting with deep vein thrombosis and bilateral pulmonary embolism in a 58-year-old woman

Abstract

Malakoplakia is an uncommon chronic inflammatory disease that appears as soft plaques in various organs and results from defective macrophage function, which tends to affect immunocompromised and debilitated patients. The pseudotumoral form presentation is rare especially with para-neoplastic syndrome. Preoperative diagnosis of renal malakoplakia in appropriate clinical settings can prevent unnecessary surgery. We present a clinical case of renal malakoplakia in a 58 old woman mimicking a malignant locally advanced renal carcinoma with rare presentation of bilateral pulmonary embolism.

A case of extremely rare pathology: Renal malakoplakia

“…Fine needle aspiration biopsy should be one of the diagnostic options in highly suspected patients. 4 …”

“…Generally, patients with bilateral or multifocal disease can be treated with antibiotics, but complete remission is not always possible.Surgical excision is the treatment of choice for unifocal disease, and nephrectomy is indicated when renal damage is extensive. 4 …”