Urinary bladder malakoplakia

Case contributed by Michael P Hartung
Diagnosis almost certain

Presentation

Dysuria.

Patient Data

Age: 7 years
Gender: Female

Asymmetric left/posterior bladder wall thickening with multiple polypoid/frondlike enhancing intraluminal masses. 

Case Discussion

Cystoscopy/biopsy confirmed malakoplakia, which is an uncommon chronic inflammatory granulomatous condition most commonly seen in the urinary bladder. It is frequently managed medically rather than surgically and is associated with immunosuppresion, AIDS, and diabetes mellitus. 

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