Encrusted cystitis--an unusual cause of recurrent frank haematuria

Encrusted cystitis associated with malakoplakia is described in the literature as a rare condition characterized by the formation of calcified plaques adherent to or embedded in the bladder mucosa.

We present the case of a 51-year-old male, presenting with recurrent haematuria associated with minimal exercise. Despite normal ultrasound, IVP, two calcified lesions on his bladder were found on cystoscopy. Conservative management was ineffective thereby necessitating a curative partial cystectomy.

We would like to illustrate/discuss this rare but problematic condition with gross and microscopic pictures.