Abstract

Abstract

Gallbladder malakoplakia is a rare inflammatory disorder. Malakoplakia, literally meaning “soft plaque,” occurs mostly in the genitourinary tract, but uncommon occurrences in other organ systems have been reported as well. The pathogenesis of malakoplakia is thought to be related to bacterial infection, immunodeficiency, or chronic inflammatory conditions. We present a case of a 45-year-old female with a history of drugs abuse who presented with clinical features and findings of chronic cholecystitis and cholelithiasis and subsequently underwent cholecystectomy. On laparoscopic examination, severe gallbladder adhesions were noted with attachments to the omentum and abdominal wall peritoneum. In addition to reporting a rare case of biliary malakoplakia and reviewing the pathogenesis of this condition, we are describing the laparoscopic technique for gallbladder removal with severe adhesions.