A rare renal malakoplakia mimicking renal tumor presenting with deep vein thrombosis and bilateral pulmonary embolism in a 58-year-old woman

Al Rashdi Hilal; Fadli Saad Ed Dine; Abdelli Omar; Raynaud Pierre; Droupy Stephane

doi:10.1016/j.eucr.2020.101431

A rare renal malakoplakia mimicking renal tumor presenting with deep vein thrombosis and bilateral pulmonary embolism in a 58-year-old woman

Urol Case Rep. 2020 Sep 28:34:101431. doi: 10.1016/j.eucr.2020.101431. eCollection 2021 Jan.

Authors

Al Rashdi Hilal^{1

2}, Fadli Saad Ed Dine¹, Abdelli Omar³, Raynaud Pierre⁴, Droupy Stephane²

Affiliations

¹ Urology Department, Perpignan Hospital, France.
² Urology Department, Nimes University Hospital, France.
³ Radiology Department, Perpignan Hospital, France.
⁴ Pathology Department, Perpignan Hospital, France.

Abstract

Malakoplakia is an uncommon chronic inflammatory disease that appears as soft plaques in various organs and results from defective macrophage function, which tends to affect immunocompromised and debilitated patients. The pseudotumoral form presentation is rare especially with para-neoplastic syndrome. Preoperative diagnosis of renal malakoplakia in appropriate clinical settings can prevent unnecessary surgery. We present a clinical case of renal malakoplakia in a 58 old woman mimicking a malignant locally advanced renal carcinoma with rare presentation of bilateral pulmonary embolism.

Keywords: Deep vein thrombosis; Malakoplakia of kidney; Michaelis-gutmann bodies; von hansemann.

Publication types

Case Reports