Wang HK, Hang G, Wang YY, Wen Q, Chen B. Bladder malacoplakia: A case report. World J Clin Cases 2022; 10(23): 8291-8297 [PMID: 36159544 DOI: 10.12998/wjcc.v10.i23.8291]
Corresponding Author of This Article
Bo Chen, MD, Chief Doctor, Director, Department of Urinary Surgery, Inner Mongolia Autonomous Region Tongliao City Hospital, No. 668 Horqin Street, Horqin District, Tongliao 028000, Inner Mongolia Autonomous Region, China. chenmuxin@126.com
Research Domain of This Article
Urology & Nephrology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Aug 16, 2022; 10(23): 8291-8297 Published online Aug 16, 2022. doi: 10.12998/wjcc.v10.i23.8291
Bladder malacoplakia: A case report
Hua-Kang Wang, Gai Hang, Yu-Yang Wang, Quan Wen, Bo Chen
Hua-Kang Wang, Yu-Yang Wang, Graduate School, Inner Mongolia Medical University, Hohhot 010000, Inner Mongolia Autonomous Region, China
Gai Hang, Quan Wen, Bo Chen, Department of Urinary Surgery, Inner Mongolia Autonomous Region Tongliao City Hospital, Tongliao 028000, Inner Mongolia Autonomous Region, China
Author contributions: Wang HK and Chen B contributed to the study conception and writing; Wang HK and Hang G contributed to the collection of pathological and electron microscopic findings; Wang YY and Chen B contributed to the analysis; Wen Q collected data on the surgery; Chen B reviewed and revised the first draft; All authors read and approved the final version of the manuscript.
Informed consent statement: Written informed consent has been obtained from patients and their families.
Conflict-of-interest statement: All authors have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Bo Chen, MD, Chief Doctor, Director, Department of Urinary Surgery, Inner Mongolia Autonomous Region Tongliao City Hospital, No. 668 Horqin Street, Horqin District, Tongliao 028000, Inner Mongolia Autonomous Region, China. chenmuxin@126.com
Received: January 27, 2022 Peer-review started: January 27, 2022 First decision: May 11, 2022 Revised: May 17, 2022 Accepted: July 6, 2022 Article in press: July 6, 2022 Published online: August 16, 2022
Abstract
BACKGROUND
Bladder malacoplakia is a rare chronic granulomatous disease. The most common site of the malacoplakia is the urinary system. The etiology of bladder malacoplakia is complex, with its clinical misdiagnosis rate is high. Therefore, exposure to more clinical cases is necessary to improve the diagnosis and treatment of this condition.
CASE SUMMARY
A 65-year-old woman was admitted to our hospital because of dysuria. She presented with dysuria, frequent urination, urgency, pain, and absence of hematuria and pyuria. After the examination, bladder tumor electrocision was performed under combined intravenous and inhalation anesthesia on September 6, 2021. During the operation, electrotomy and electrocoagulation were performed. The operation was then followed by anti-infection treatment, and the patient recovered well. The postoperative pathology was diagnosed as bladder malacoplakia by light and electron microscopic analyses. On a follow-up after 4 mo, no significant difference between electrotomy and electrocoagulation was found, with both achieving a curative effect.
CONCLUSION
Diagnosing bladder malacoplakia depends on histopathological examination. Antibiotic treatment with bladder tumor resection or electrocoagulation provides better therapeutic effect.
Core Tip: Bladder malacoplakia is a rare chronic granulomatous disease. The most common site of the malacoplakia is the urinary system, and the clinical misdiagnosis rate is high. We reported a case of this rare disease and propose our own perspective on the improvement of diagnosis and treatment of bladder malacoplakia.
