BMJ Case Reports 2018; doi:10.1136/bcr-2018-225642
  • Rare disease

A novel cause of postmenopausal bleeding in an immunosuppressed patient

  1. Christopher Benness3
  1. 1 Obstetrics and Gynaecology, The Royal Hospital for Women, Randwick, New South Wales, Australia
  2. 2 Pathology, Royal Prince Alfred Hospital, Camperdown, New South Wales, Australia
  3. 3 Obstetrics and Gynaecology, Royal Prince Alfred Hospital, Camperdown, New South Wales, Australia
  1. Correspondence to Dr Neill Paul Kiely, neilldiver{at}
  • Accepted 18 June 2018
  • Published 10 July 2018


Malakoplakia is a rare histiocytic disease first described in 1902 by Michaelis and Gutmann. It is associated with host immunocompromise including chronic inflammatory conditions, infectious conditions or malnutrition. Here, we report the case of uterine malakoplakia as a rare cause of postmenopausal bleeding in an immunocompromised patient.


  • Contributors NPK is the primary author, the article was reviewed and edited by LA. HA and CB were primary clinicians involved in this case.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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