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Isolated ureteral malakoplakia: A conservative endoscopic approach with a strict follow-up
- Source :
- Urology Case Reports, Vol 41, Iss , Pp 101986- (2022)
- Publication Year :
- 2022
- Publisher :
- Elsevier, 2022.
-
Abstract
- Ureteral malakoplakia is a rare pathological entity. We report the case of a 54-years-old woman with a single ureteral malakoplakic lesion. Patient presented with history of recurrent urinary tract infections and asymptomatic dilatation of right pelvis. Radiological investigations showed a right lower ureteric filling defect without bladder or kidney involvement. A first uretero-renoscopy allowed an extirpative biopsy, with a histopathologic diagnosis of malakoplakia. Second-look uretero-renoscopy showed only a minute area of hyperemic mucosa that was biopsied and coagulated, showing a residual focus of malakoplakia. At 12-months, imaging and blood test demonstrated reduction of hydronephrosis, serum creatinine recovery and no recurrences.
Details
- Language :
- English
- ISSN :
- 22144420
- Volume :
- 41
- Issue :
- 101986-
- Database :
- Directory of Open Access Journals
- Journal :
- Urology Case Reports
- Publication Type :
- Academic Journal
- Accession number :
- edsdoj.4ff69917b3794f2282e2071ad60f1abf
- Document Type :
- article
- Full Text :
- https://doi.org/10.1016/j.eucr.2021.101986