{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T00:17:05Z","timestamp":1790036225827,"version":"4.0.1"},"reference-count":40,"publisher":"MDPI AG","issue":"1","license":[{"start":{"date-parts":[[2023,1,12]],"date-time":"2023-01-12T00:00:00Z","timestamp":1673481600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Medicina"],"abstract":"<jats:p>Colonic malakoplakia is an uncommon granulomatous development of cells resulting from the impaired capacity of the mononuclear cells to eliminate the phagocytosed bacteria, and in rare cases it can also affect the gastrointestinal tract. We report the case of a 78-year-old female patient that was admitted to hospital by The Emergency Department with the diagnosis of bowel obstruction, confirmed by the clinical and paraclinical investigations. We decided to surgically manage the case for suspicious symptomatic colonic neoplasm. The histological examination of the surgical specimens revealed colonic malakoplakia, characterized by the presence of the aggregated granular histiocytes and Michaelis-Gutmann bodies. Through this paper, we want to raise awareness for Malakoplakia, which remains an extremely rare disease that may affect multiple organs, and because it does not present specific symptoms or clinical manifestations, the final diagnosis remains the histopathological study. The clinical conduct should be decided after taking into consideration all the aspects of this pathology along with the benefits and risks for the patient.<\/jats:p>","DOI":"10.3390\/medicina59010156","type":"journal-article","created":{"date-parts":[[2023,1,13]],"date-time":"2023-01-13T02:05:52Z","timestamp":1673575552000},"page":"156","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["A Surgical Challenge Generated by Colonic Malakoplakia in Disguise as a Locally Advanced Colonic Malignancy\u2014A Case Report"],"prefix":"10.3390","volume":"59","author":[{"given":"Cristina","family":"\u0218erban","sequence":"first","affiliation":[{"name":"Surgical Department, Faculty of Medicine and Pharmacy, \u201cDun\u0103rea de Jos\u201d University of Gala\u021bi, 800201 Gala\u021bi, Romania"},{"name":"Surgical Clinical Department, \u201cSf. Apostol Andrei\u201d Emergency Clinical County Hospital, 800578 Gala\u021bi, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandra","family":"Toma","sequence":"additional","affiliation":[{"name":"Surgical Clinical Department, Emergency Clinical County Hospital of Braila, 810325 Braila, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Drago\u0219 Cristian","family":"Voicu","sequence":"additional","affiliation":[{"name":"Surgical Department, Faculty of Medicine and Pharmacy, \u201cDun\u0103rea de Jos\u201d University of Gala\u021bi, 800201 Gala\u021bi, Romania"},{"name":"Surgical Clinical Department, Emergency Clinical County Hospital of Braila, 810325 Braila, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Constantin","family":"Popazu","sequence":"additional","affiliation":[{"name":"Surgical Clinical Department, Emergency Clinical County Hospital of Braila, 810325 Braila, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dorel","family":"Firescu","sequence":"additional","affiliation":[{"name":"Surgical Department, Faculty of Medicine and Pharmacy, \u201cDun\u0103rea de Jos\u201d University of Gala\u021bi, 800201 Gala\u021bi, Romania"},{"name":"Surgical Clinical Department, \u201cSf. Apostol Andrei\u201d Emergency Clinical County Hospital, 800578 Gala\u021bi, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"George","family":"\u021aocu","sequence":"additional","affiliation":[{"name":"Pharmaceutical Sciences Department, \u201cSf. Apostol Andrei\u201d Emergency Clinical County Hospital, 800578 Gala\u021bi, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raul","family":"Mihailov","sequence":"additional","affiliation":[{"name":"Surgical Department, Faculty of Medicine and Pharmacy, \u201cDun\u0103rea de Jos\u201d University of Gala\u021bi, 800201 Gala\u021bi, Romania"},{"name":"Surgical Clinical Department, \u201cSf. Apostol Andrei\u201d Emergency Clinical County Hospital, 800578 Gala\u021bi, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Rebegea","sequence":"additional","affiliation":[{"name":"Radiotherapy Department, \u201cSf. Apostol Andrei\u201d Emergency Clinical County Hospital, 800578 Gala\u021bi, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2023,1,12]]},"reference":[{"key":"ref_1","first-page":"208","article-title":"Ueber Einschlusse in Blasentumoren","volume":"47","author":"Michaelis","year":"1992","journal-title":"Z. Klin. Med."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"555","DOI":"10.1007\/s00428-012-1244-9","article-title":"Macrophage-related diseases of the gut: A pathologist\u2019s perspective","volume":"460","author":"Sagaert","year":"2012","journal-title":"Virchows Arch."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"1251","DOI":"10.1097\/PAS.0000000000001491","article-title":"Gastrointestinal Malakoplakia","volume":"44","author":"Zhang","year":"2020","journal-title":"Am. J. Surg. 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