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Malakoplakia is a rare chronic inflammatory disease that mainly affects the genitourinary system. A case of malakoplakia in the retroperitoneal space in a 53-year-old female patient with abdominal pain syndrome is presented. According to the results of computed tomography and magnetic resonance imaging of the abdominal organs and retroperitoneal space, the changes were assessed as nonspecific. Diagnostic biopsy revealed specific microscopic signs - the presence of inflammatory cell infiltration in the soft tissues of the retroperitoneal space with an abundance of CD68-positive macrophages containing PAS-positive cytoplasmic inclusions - Michaelis-Gutman bodies. Morphological examination allows differential diagnosis of malakoplakia with other pathological processes.
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http://dx.doi.org/10.17116/patol20258704158 | DOI Listing |
Am Surg
September 2025
Department of Surgery, Washington University in St Louis, St Louis, MO, USA.
The care of patients with necrotizing pancreatitis is a complex problem for the general, acute care, minimally invasive, and hepatopancreatobiliary surgeon. In this brief report, we present a case series of 2 patients with fulminant retroperitoneal necrosis recently treated at our center using a novel robotic-assisted retroperitoneal necrosectomy and debridement (RAND) following failure of the step-up approach. This approach maximizes access to the retroperitoneum and allows improved visualization and dexterity in the challenging retroperitoneal space while maintaining minimally invasive surgical principles.
View Article and Find Full Text PDFArkh Patol
September 2025
Perm Regional Clinical Hospital, Perm, Russia.
Malakoplakia is a rare chronic inflammatory disease that mainly affects the genitourinary system. A case of malakoplakia in the retroperitoneal space in a 53-year-old female patient with abdominal pain syndrome is presented. According to the results of computed tomography and magnetic resonance imaging of the abdominal organs and retroperitoneal space, the changes were assessed as nonspecific.
View Article and Find Full Text PDFJ Robot Surg
September 2025
Department of Urology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
The aim of our study is to compare and assess the correlation of preoperative factors, intraoperative events and post-operative outcomes of robot assisted transperitoneal (RATP) and robot assisted retroperitoneal (RARP) partial nephrectomy (PN) in T1 renal cancer. Data from 2609 patients during the period of 10 years who underwent either RATP or RARP partial nephrectomies was retrospectively analyzed. We compared preoperative factors (age, BMI, tumour size/stage, PADUA score, preoperative eGFR, history of previous abdominal and ipsilateral surgery), intraoperative events: operative time (OT), warm ischemia time (WIT), estimated blood loss (EBL), and post-operative outcomes: complications, eGFR, positive surgical margins (PSM), and death due to disease (DOD) or due to other causes (DOC) and survival rates.
View Article and Find Full Text PDFJ Minim Invasive Gynecol
August 2025
Department of Gynecology and Obstetrics (Pr. Chauleur), North Hospital, Saint-Etienne University, Saint Priest en Jarez, France.
Objective: The aim of this video is to demonstrate the feasibility and added value of using a single-port robot-assisted approach for para-aortic lymphadenectomy.
Design: Stepwise demonstration of the technique with narrated video footage.
Setting: This intervention was realised in Gynecology and Obstetrics Department, Saint-Etienne University Hospital Center.
JBJS Case Connect
July 2025
Spine Unit, Department of Orthopedic Surgery, Hospital Universitario La Paz, Madrid, Spain.
Case: A 57-year-old woman with lumbar scoliosis underwent L4-S1 anterior lumbar interbody fusion by retroperitoneal approach. A computed tomography scan performed on postoperative day seven showed a retroperitoneal fluid collection (15 × 10 × 19 cm). After excluding haemorrhagic, urinary, infectious, lymphatic and cerebrospinal origin, it was diagnosed as a transudate.
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