Prominent iliopsoas muscles producing a gourd-shaped deformity of the bladder

Hypertrophied iliopsoas musculature should be considered seriously in the evaluation of young muscular male patients presenting with gourd-shaped bladder deformities. The recognition of this nonpathologic gourd deformity during excretory urography and subsequent confirmation by computerized tomography allow an accurate efficient diagnosis, sparing the patient a needless, more extensive investigation.