Inflammatory pseudotumor of urinary bladder

A previously healthy 44-year-old male was admitted with the chief complaint of intermittent gross hematuria. On initial ultrasonographic and CT examin ation, a grossly protruding intravesical tumor was noted and, under the imp ression of a malignant bladder tumor, transurethral resection was performed . The histological findings were spindle cells with elongated cytoplasm wit h rare mitotic figures distributed in myxoid stroma, consistent with diagno sis of inflammatory pseudotumor of the bladder. The benign nature of this t umor warrants conservative surgical management, usually consisting of trans urethral resection or partial cystectomy. No reports of metastasis have bee n reported following complete excision. Therefore, any suspicion and recogn ition of this entity is imperative to avoid performing an irreversible radi cal procedure.