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Multiple spontaneous enterocutaneous fistulae in malakoplakia
Saroj Kant Sinha1, Pradeepta Kumar Sethy, Lileswar Kaman
1Department of Gastroenterology, Postgraduate Institute of Medical Education and Research, Chandigarh 160 012. sarojksinha@hotmail.com
Summary
Malakoplakia, a rare inflammatory condition, can manifest unusually. This case highlights its rare presentation as a psoas abscess leading to complex fistulae, confirmed by diagnostic Michaelis-Gutmann bodies.
Area of Science:
- Urology
- Pathology
- Gastroenterology
Background:
- Malakoplakia is a rare chronic inflammatory disorder.
- It typically affects the genitourinary system.
- Uncommon presentations require thorough investigation.
Observation:
- A patient presented with a psoas abscess.
- Following drainage, the patient developed a colocutaneous fistula.
- Multiple additional spontaneous fistulae appeared distant from the incision site.
Findings:
- Histological examination of the resected specimen was crucial.
- The presence of Michaelis-Gutmann bodies confirmed the diagnosis.
- These bodies are pathognomonic for malakoplakia.
Implications:
- This case expands the known clinical spectrum of malakoplakia.
- It underscores the importance of considering malakoplakia in complex inflammatory conditions.
- Early diagnosis and management are vital for patient outcomes.