Rare Case of Intramural Urinary Bladder Leiomyoma

Leiomyomas are the most common mesenchymal tumors of the urinary bladder. They account for 0.43% of all bladder tumors. Their incidence is 3 times higher in women than in men. There are approximately 250 cases described in the scientific literature, but none are of Caribbean males. The intramural location of the neoplasm described in this article was uncommon; only 7% of all the leiomyomas of the urinary bladder are found in this location. We present a case of a 65-year-old male with an intramural leiomyoma that was found incidentally during the evaluation of left lower-quadrant abdominal pain. The histopathological specimen that was taken at the time at the time of surgery showed a tumor with atypical smooth muscle cells indicative of a leiomyoma. The clinical presentation, radiographic imaging, and surgical management of this rare tumor are presented herein.