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Sonographic findings in renal parenchymal malacoplakia
S K Venkatesh1, N Mehrotra, R B Gujral
1Department of Radiodiagnosis, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Raebareli Road, Lucknow 226014, India.
Journal of Clinical Ultrasound : JCU
|August 10, 2000
Summary
This case study details bilateral renal malacoplakia, a rare kidney inflammation. Imaging revealed diffuse left kidney involvement and a focal right kidney lesion, leading to nephrectomy and conservative management.
Area of Science:
- Nephrology
- Pathology
- Radiology
Background:
- Malacoplakia is a rare inflammatory condition affecting various organs, including the kidneys.
- Renal malacoplakia presents a diagnostic challenge due to its infrequent occurrence.
Observation:
- A patient presented with bilateral renal malacoplakia, characterized by diffuse involvement of the left kidney and a focal lesion in the right kidney.
- Sonography demonstrated an enlarged, echogenic left kidney with obscured corticomedullary differentiation.
- A 1.8 x 1.6 x 1.3 cm anechoic lesion was identified in the right kidney.
Findings:
- The case highlights the varied sonographic appearances of renal malacoplakia.
- Surgical intervention (left nephrectomy) was necessary for the extensively diseased left kidney.
- Conservative management with sonographic monitoring was chosen for the focal lesion in the right kidney.
Implications:
- This case contributes to the understanding of rare renal inflammatory disorders.
- It underscores the importance of detailed imaging in diagnosing and managing malacoplakia.
- The findings may inform future treatment strategies for bilateral renal malacoplakia.