A 54-Year-Old Man With Painless Gross Hematuria and a Fatty Pelvic Tumor

The patient is a 54-year-old Caucasian male with a history of hidroadenitis who presented with a 1-week history of painless gross hematuria. His past medical history is otherwise unremarkable.

He underwent a CT urogram in the emergency department that revealed an inverted pear-shaped bladder due to hypertrophy of perivesical and perirectal fat as well as engorgement of the perivesical and prostatic ...