肾脏软斑病侵犯降结肠合并膀胱软斑病1例报告  

Renal malakoplakia invading descending colon complicated with bladder malakoplakia:a case report

作　　者：吴启哲 宁向辉 王丛巍 王军[1] 杨锦建[1] 贾占奎[1] Wu Qizhe;Ning Xianghui;Wang Congwei;Wang Jun;Yang Jinjian;Jia Zhankui(Department of Urology,The First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China)

机构地区：[1]郑州大学第一附属医院泌尿外科,郑州450052

出　　处：《中华泌尿外科杂志》2024年第1期57-58,共2页Chinese Journal of Urology

摘　　要：软斑病是一种主要发生于泌尿系统的罕见肉芽肿性病变,而肾脏软斑病侵犯降结肠同时合并膀胱软斑病更罕见,本研究报道1例。影像学检查示左肾大片状混杂密度影,增强扫描病灶呈不均匀强化,行CT引导下肾穿刺活检术,术后病理结果示肾脏软斑病。行经尿道膀胱镜检查,活检病理证实为膀胱软斑病。予抗生素保守治疗,效果欠佳。患者行根治性肾切除术+左半结肠切除术,术后病理确诊为肾脏软斑病,病变累及肠管黏膜及整个肌层。术后随访6个月,行CT检查未见复发。Malacoplakia is a rare granuloma disease mainly occurred in the urinary system,it is even rarer for renal malacoplakia invading the descending colon complicated with bladder malacoplakia.In this study,one such case was reported.Imaging examination suggested that the left kidney was a large patchy mixed density shadow,and enhancement scan lesion was uneven enhancement.CT guided renal puncture biopsy was performed,and postoperative pathology suggested renal malacoplakia.Transurethral cystoscopy was performed,and postoperative pathology confirmed that it was malacoplakia of the bladder.The effect of conservative antibiotic treatment was not good.The patient underwent radical nephrectomy+left hemicolectomy under general anesthesia,and postoperative pathology confirmed the diagnosis of renal malacoplakia,which involved the mucosa of the intestinal tube and the entire muscular layer.The patient was followed up for 6 months after surgery,and no recurrence was seen on CT.

关 键 词：软斑病 肾脏 膀胱 肉芽肿 手术治疗 

分 类 号：R694[医药卫生—泌尿科学]