ABSTRACT
Malakoplakia is a rare inflammatory disease, related to Enterobacteria infection in the context of a disorder of cell-mediated immunity. This disease does not have any specific clinical or laboratory signs and the diagnosis is exclusively based on histology. Malakoplakia is exceptional in children and usually involves the gastrointestinal tract. The authors report a rare case of malakoplakia of the urinary bladder in a 4-year-old child, in whom the initial diagnosis was an anomaly of the urachus.
Subject(s)
Malacoplakia/diagnosis , Urinary Bladder Diseases/diagnosis , Anti-Bacterial Agents/therapeutic use , Child, Preschool , Cystectomy/methods , Fibrosis , Fluoroquinolones/therapeutic use , Hernia, Inguinal/diagnosis , Humans , Malacoplakia/therapy , Male , Scrotum , Urinary Bladder/pathology , Urinary Bladder Diseases/therapyABSTRACT
A case of intraparenchymal renal haemorrhage associated with renal artery dissection, occurring at the end of pregnancy in a woman with a vascular form of Ehlers-Danlos syndrome is reported for the first time. This cases illustrates the potential risk of this syndrome and the importance of multidisciplinary management to ensure an appropriate diagnostic and therapeutic strategy. Magnetic resonance imaging is useful in this setting to elucidate complex cases of renal colic in pregnant women presenting an increased risk of ischaemic or haemorrhagic disorders.
