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.
Ma et al. (Mon,) studied this question.