Candida related bladder fungal bezoar causing bladder outlet obstruction: A rare mimicker of mucinous bladder tumour

Fungal bezoars in the urinary tract are rare and typically present in immunocompromised individuals, such as those with diabetes mellitus. We discuss the case of a 66-year-old bedbound female with poorly controlled type 2 diabetes mellitus who presented with intra-abdominal collections secondary to a possible bladder perforation. She was subsequently found to have bladder outlet obstruction secondary to a large fungal bezoar resembling a mucinous bladder tumour. This case highlights the importance of considering fungal bezoars in the differential diagnosis in patients presenting with bladder masses, especially in high-risk patients, to prevent misdiagnosis and ensure appropriate treatment.