Ureteral obstruction caused by malacoplakia of the bladder over the ureteral orifice.
We have described a case of malacoplakia presenting with uremia in a young, previously healthy black man. Malacoplakia was found in the bladder over both ureteral orifices, causing obstruction. The patient was treated with antibiotics, a percutaneous nephrostomy tube, and finally with transurethral resection of the malacoplakia over the ureteral orifices. The patient's renal function improved dramatically and he is presently asymptomatic.
D000328:Adult; D006801:Humans; D008287:Malacoplakia / Q000150:complications*; D008297:Male; D014511:Uremia / Q000209:etiology; D014517:Ureteral Obstruction / Q000209:etiology* / Q000628:therapy; D001745:Urinary Bladder Diseases / Q000150:complications*