Korean J Urogenit Tract Infect Inflamm.  2013 Oct;8(2):125-128. 10.14777/kjutii.2013.8.2.125.

Malakoplakia in the Urinary Bladder

• Baik S
• Kim CS
• Lim DH

• KMID: 1502119
• DOI: http://doi.org/10.14777/kjutii.2013.8.2.125

Abstract

Malakoplakia is a rare chronic granulomatous disease, which was originally described in the urinary bladder, but can involve many other organs and soft tissues. Malakoplakia is often associated with immunosuppression or immunodeficiency and is believed to be caused by an alternation in the bacterial phagocytic system. Histologically, the presence of Michaelis-Gutmann bodies is pathognomonic. We report on a case of malakoplakia of the bladder in a 62-year-old female.

Keyword

Malakoplakia; Urinary bladder

MeSH Terms

Female
Granulomatous Disease, Chronic
Humans
Immunosuppression
Malacoplakia*
Middle Aged
Urinary Bladder*

Figure

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  Fig. 1. Cystourethroscopy revealed multiple, soft, yellow plaques on the entire wall of the bladder.

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  Fig. 2. Michaelis-Gutmann body (arrows) (×400).

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  Fig. 3. Cystourethroscopy still revealed the presence of yellow mucosal lesions but their number and size was decreased.

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  Fig. 4. No lesions were seen on a cystourethroscopy.

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