고광철, 이풍렬, 김재준, 백승운, 손희정, 이종철, 서연림 (Kwang Cheol Koh, Poong Lyul Rhee, Jae Jun Kim, Seung Woon Paik, Hee Jung Son, Jong Chul Rhee and Yeon Lim Seo)
Abstract
Malakoplakia is an uncommon granulomatous disease most frequently found in the bladder or ureter. Howevcr, it has been reyorted in almost every ather organ and structure, the colon is the most common site of malakoplakia outside the urogenital tract and colonic carcinoma is the most commonly associated disease. A case of malakoplakia of the colon in a 54-year-old female is reported. Sigmoidoscopy revealed multiple whiteyellowish nodules simulating polypoid lesion at 10cm from the anal verge. The biopsy showed characteristically comprised submucosal proliferations of histiocyte and chronic inflammatory cells with typical cytoplasmic inclusions known as Michaelis-Gutmann bodies. Intravenous pyelogram showed no evidence of involvement of the urinary system. These nodules were removed by endoscopic polypectomy, So far, this is the first case of isolated colonic malakoplakia in Korea. (Korean J Gastrointest Endosc 16: 254~257, 1996)
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