Malakoplakia of the Urachus

Authors: Chadli A, Safwate R*, Daghdagh Y, Dakir M, Debbagh A, Aboutaeib R, Alioua S, Mernissi F and Karkouri M

DOI: 10.23880/oajun-16000237

Volume 8, Issue 2

Abstract

Malakoplakia is a chronic inflammatory pathology that can affect any organ in the body. Urological malakoplakia presents several clinical manifestations, depending on its location. Most often, it is responsible for hematuria, which may be mistaken for a neoplastic pathology. Positive diagnosis is made by anatomopathological study, which shows the presence of pathognomonic Michaelis-Gutmann bodies. Treatment is based on antibiotic therapy, with the possibility of surgery if medical treatment fails. We report the case of a 45-year-old female patient who presented with hypogastric swelling and haematuria, and was first diagnosed with a malignant tumour of the urachus and went for aggressive surgery. Histological examination confirmed the diagnosis of malakoplakia.

Keywords: Malakoplakia; Urachus; Ureter

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