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상행결장에서 발생한 연반증 1예

A Case Report of Malakoplakia Occurred in the Ascending Colon

대한대장항문학회지 1996년 12권 1호 p.149 ~ 153
안병권 ( Ahn Byung-Kwon ) - 부산세강병원 일반외과

선병호 ( Sun Byung-Ho ) - 세강병원 일반외과
김혜숙 ( Kim Hae-Sook ) - 부산세강병원 일반외과


Since Michaelis and Gutmann have described malakoplakia as a rare chronic inflammatory disorder most commonly affecting the urinary bladder and other portions of genitourinary tract, it has been known as a rare disease. Especially, it rarely involves colon as an inflammatory lesion with uncertain pathogenesis. Histologically, the pathognomonic entity is coarsely granular histiocytes containing calcific concretion, the so-called Michaelis-Gutmann bodies. It is differentiated from carcinoma, which it may resemble clinically. Although it is usually self-limited or responsive to antibiotic therapy,
occasionally resection is necessary because of bleeding, fistula, or localized anatomic complication. We report one case of the malakoplakia occurred in the asending colon.


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