Isolated urachal malakoplakia mimicking malignancy
Saisriharsha Pakalapati1, Sanjay Parachuri1, Venkateshwara Rao Kakarla1
1Department of Urology, Vydehi Institute of Medical Sciences and Research Centre, Bengaluru, Karnataka, India.
This case report details a rare instance of isolated malakoplakia affecting the urachus, a urinary tract structure. The condition presented with lower urinary tract symptoms, highlighting a unique clinical presentation.
Area of Science:
- Urology
- Pathology
- Inflammatory Diseases
Background:
- Malakoplakia is a rare inflammatory condition with unclear causes.
- It typically affects the genitourinary system, particularly the bladder.
Observation:
- A 29-year-old male presented with lower urinary tract symptoms and sterile pyuria.
- Imaging revealed a urachal mass, with no hematuria or bacterial infection.
Findings:
- Histopathological examination confirmed isolated malakoplakia of the urachus.
- The patient underwent successful surgical excision of the urachal mass.
Implications:
- This case represents the first report of isolated urachal malakoplakia without malignancy or bladder involvement in the country.
- It expands the understanding of malakoplakia's diverse presentations within the genitourinary tract.
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