Abstract

Malakoplakia is a benign condition described intialy in the urinary tract. Malakoplakia is an uncommon chronic inflammatory disease usually affecting the urogenital tract and often associated with the infection due to E. coli. It is characterised by the presence of Von Hansemann cells and intracytoplasmic inclusion bodies called Michaelis-Gutmann Bodies. The lesion mainly occurs in middle aged men, appearing clinically as epididymo-orchitis or testicular enlargement with fibrous consistency and some soft areas. Orchidectomy is the only way to differentiate the lesion from other malignant or infected processes. A 65 year old man presented with swelling of right testis since 3 months duration. There was a mild pain associated with swelling. There was no urinary disturbances to the patient. On examination, there was a swelling of right testis present. There was tenderness on palpation with preserved testicular senations. The swelling was firm in consistency. Ultrasound shown, the testicular mass with heterogeneous lesion with solid and irregular cystic ares. Patient underwent right inguinal orchidectomy. Histopathology of specimen shows the features of malakoplakia of testis. Patient treated with antibiotics and symptomatic medicatios. Follow up of patient for 2 years was asymptomatic.

Keywords: Michaelis gutmann bodies, Malakoplakia, Plakia, Histiocytes, Orchidectomy.