Ureter and bladder malakoplakia: a case report
Yu-Ping Ma1, Jian-Guo Zhu1, Qian-Ye Yong1
1Department of Radiology, The Second Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu 210011, China.
Abstract:
Malakoplakia (MP) is a rare granulomatous inflammation that primarily affects the urinary system and has a characteristic histological appearance. We report a case of ureteral and bladder MP associated with renal failure that clinically mimicked urothelial carcinoma. A 60-year-old woman presented to our clinic with a one-year history of left flank pain. Computed tomography urography (CTU) and magnetic resonance (MR) imaging revealed asymmetric thickening of the left ureteral and bladder walls, along with polypoid, contrast-enhancing intraluminal masses. The diagnosis was confirmed by histopathological evaluation, which demonstrated the pathognomonic Michaelis-Gutmann bodies.
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