Afzal Rao Mujtaba, Rangaswamy Balasubramanya, Landau Michael, John Ivy, Singh Harkirat, Phillips Anna Evans
Department of Internal Medicine, University of Pittsburgh Medical Center, Pittsburgh, PA.
Department of Radiology, University of Pittsburgh Medical Center, Pittsburgh, PA.
ACG Case Rep J. 2023 Apr 19;10(4):e01042. doi: 10.14309/crj.0000000000001042. eCollection 2023 Apr.
Malakoplakia is a rare granulomatous tumor-like inflammatory condition, most frequently involving the genitourinary system and occurring in immunosuppressed patients. The gastrointestinal tract is the second most common site, where it is usually seen involving the colon. We report a case of malakoplakia presenting as a pancreatic mass. Imaging showed soft tissue along the pancreatic tail/greater curvature concerning for infiltrating tumor, but endoscopic ultrasound with biopsy showed malakoplakia. Our case discusses malakoplakia at an uncommon site, which was appropriately treated with antibiotics.
软斑病是一种罕见的肉芽肿性肿瘤样炎症性疾病,最常累及泌尿生殖系统,发生于免疫抑制患者。胃肠道是第二常见部位,通常见于结肠。我们报告一例表现为胰腺肿块的软斑病病例。影像学检查显示胰尾/胃大弯处有软组织,怀疑为浸润性肿瘤,但内镜超声检查及活检显示为软斑病。我们的病例讨论了发生在不常见部位的软斑病,经抗生素治疗后病情得到妥善控制。