La Malakoplakie Rétropéritonéale Pseudotumorale

Abstract

Malacoplakia is a granulomatous inflammatory disease, has a preference for the urogenital tract and less frequently affects gastrointestinal tract and the retroperitoneal region. It is caused by a disorder of macrophage bactericidal function. Its definition is pathological. We report the unusual case of a male patient who was under long term corticotherapy to the long course. He presented with retroperitoneal pseudotumoral malacoplakia revealed by left flank mass and pain. Radiological examination showed a pararenal abscess localized in the retroperitoneum and extended to psoas muscle. Pathological examination for biopsy specimen confirmed the lesion to be malakoplakia characterized by the presence of von Hansemann cells and Michaelis-Gutmann bodies. The patient was treated with ciprofloxacin. He remains on a regular check-up with good clinical and radiological response.

Understanding testicular malakoplakia: A rare inflammatory condition and its clinical implications case report

“…Histologically, it is characterized by the presence of Hansemann cells and Michaelis and Guetmann bodies. Contrary to this anatomical-pathological specificity [1].…”