Abstract
A clinical case of bladder malacoplakia in a 33-year-old woman, clinically manifested by dysuria and gross hematuria, is presented. Malacoplakia is a rare tumor-like granulomatous-inflammatory disease with a predominant lesion of the bladder mucosa. The literature describes extravesical forms of malacoplakia with involvement of the ureters, renal pelvis and calyces, prostate, testicles and their appendages, intestines and other organs. In women, the disease occurs 4 times more often than in men. The reasons for the development of malacoplakia are not fully understood. The main importance in its pathogenesis is attached to the infectious factor and immunosuppression. Diagnosis is based on histological examination of bladder biopsy specimens and the detection of Hansemann cells and Michaelis Gutman bodies. Treatment of patients with malacoplakia consists of resection of the affected areas of the bladder and antibiotic therapy.