Muguti G I, Gwavava N J
Dept. of Surgery, Mpilo Central Hospital, Bulawayo, Zimbabwe.
Cent Afr J Med. 1991 Oct;37(10):333-6.
A case of malakoplakia of the small intestine presenting as an abscess of the anterior abdominal wall is described in a 28-year-old black Zimbabwean man. The patient developed an enterocutaneous fistula after incision and drainage of the abscess. Light and electronic microscopy revealed Michaelis-Gutmann bodies in some von Hansemann cells. He did well for eight months following laparotomy and resection of the fistula, but later died of a severe chest infection and septicaemia. It is suggested that malakoplakia in this case behaved like a locally aggressive lesion. Von Hansemann's histiocytes were sighted in the subcapsular sinus and germinal centres of nearby lymph nodes.
一名28岁的津巴布韦黑人男性患者，小肠软斑症表现为腹壁前部脓肿。患者脓肿切开引流后出现肠皮肤瘘。光镜和电镜检查发现部分冯·汉塞曼细胞内有迈克尔is - 古特曼小体。剖腹手术及瘘管切除术后患者情况良好达8个月，但后来死于严重的肺部感染和败血症。提示该病例中的软斑症表现为局部侵袭性病变。在附近淋巴结的被膜下窦和生发中心发现了冯·汉塞曼组织细胞。
