284 Pancreatic Malakoplakia in a Patient with Chronic Pancreatitis: A Case Report with Literature review

Introduction/Objective Pancreatic malakoplakia is granulomatous disease, most frequently involving the genitourinary system and commonly associated with immunosuppressed patients. However, this lesion can affect other organs, including the pancreas. Its presentation can mimic other pancreatic pathologies such as neoplasms or chronic pancreatitis, making the diagnosis challenging. Early and precise diagnosis of the disease may avoid unnecessary surgery and improve outcomes. Methods/Case Report Case report Results NA Conclusion Pancreatic malakoplakia is a rare but significant differential diagnosis in patients with chronic pancreatitis who present with mass-like lesions or pseudocysts. This case highlights the diagnostic challenges and the importance of histopathological confirmation. A review of previous cases underscores the complexity of treatment and etiology. To our knowledge, this report includes the largest number of documented pancreatic malakoplakia cases.