Adrenal malakoplakia a rare lesion that mimics a neoplasm

Orión Erenhú Rodríguez González; Jesus Eduardo Osorio; Edgar Iván Bravo Castro

doi:10.1016/j.eucr.2023.102568

Adrenal malakoplakia a rare lesion that mimics a neoplasm

Urol Case Rep. 2023 Sep 21:51:102568. doi: 10.1016/j.eucr.2023.102568. eCollection 2023 Nov.

Authors

Orión Erenhú Rodríguez González^{1

2}, Jesus Eduardo Osorio^{1

3}, Edgar Iván Bravo Castro³

Affiliations

¹ Escuela Militar de Graduados de Sanidad, Batalla de Celaya 202, Lomas de Sotelo, Militar, Miguel Hidalgo, 11200, Ciudad de México, Mexico.
² Hospital Militar Regional de Especialidades Guadalajara, Reforma, Colonia Centro, C.P. 44890, Guadalajara, Jalisco, Mexico.
³ Hospital Central Militar, Periférico Blvrd Manuel Ávila Camacho S/n, Militar, C.P. 11200, Miguel Hidalgo, Ciudad de México, Mexico.

Abstract

Background: Malakoplakia is a rare disorder 75% of the reported cases affect mainly the genitourinary tract, its occurrence in the adrenal gland is extremely rare.

Case presentation: A 65-year-old female patient presented to the emergency department for chronic abdominal pain. Radiographic and biochemical studies revealed a left adrenal incidentaloma and left adrenalectomy was performed. Histological examination showed the presence of Michaelis-Gutmann bodies, compatible with a malakoplakia of the adrenal gland.

Conclusions: Malakoplakia is a rare disorder, with non-standardized treatment, medical and surgical therapies appear to be effective in treating the condition.

Keywords: Adrenal incidentaloma; Adrenal malakoplakia; Incidental finding; Malakoplakia.

Publication types

Case Reports