A case of Malakoplakia of the genitourinary tract

Chronic inflammatory conditions and malignancies often present very similarly misleading us in making a diagnosis. Here we present a case of a 30 year old woman who underwent laparotomy for suspected ovarian malignancy and histopathology reports were suggestive of malakoplakia. It is a rare histiocytic disease that occurs in all organs common in GU tract, particularly bladder. Malakoplakia can clinically simulate tumours and can be associated with tumours, infections and immunosuppression. Inefficient killing of the microorganism by the macrophages as evidenced by the presence of Michaelis Gutman bodies is the hallmark of diagnosis.