Published online Aug 16, 2022. doi: 10.12998/wjcc.v10.i23.8291
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
Processing time: 185 Days and 12.9 Hours
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.
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.
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.