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  • Title: Malakoplakia of the small intestine as a cause of enterocutaneous fistula.
    Author: Muguti GI, Gwavava NJ.
    Journal: Cent Afr J Med; 1991 Oct; 37(10):333-6. PubMed ID: 1839892.
    Abstract:
    A case of malakoplakia of the small intestine presenting as an abscess of the anterior abdominal wall is described in a 28-year-old black Zimbabwean man. The patient developed an enterocutaneous fistula after incision and drainage of the abscess. Light and electronic microscopy revealed Michaelis-Gutmann bodies in some von Hansemann cells. He did well for eight months following laparotomy and resection of the fistula, but later died of a severe chest infection and septicaemia. It is suggested that malakoplakia in this case behaved like a locally aggressive lesion. Von Hansemann's histiocytes were sighted in the subcapsular sinus and germinal centres of nearby lymph nodes.
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