Urinary bladder lipoleiomyoma (a rare variant of benign spindle cell tumour of urinary bladder): a tongue-twister as a name and a diagnostic and therapeutic dilemma for the practising urologist

Introduction: Spindle cell lesions of the urinary tract encompass a variety of benign and malignant tumours as well as a group of lesions of controversial nomenclature that is the subject of ongoing debate. Case presentation: We present a rare case report of a 35-year-old female with painless haematuria who was diagnosed with bladder mass on imaging and managed by initial transurethral resection of bladder mass which revealed Lipoleiomyoma and hence, finally managed by open surgery with resection of the bladder mass with wide margins. The final histopathological diagnosis was benign spindle cell tumour of the urinary bladder. Conclusion: This case illustrates the clinical presentation, diagnostic challenges, surgical management of rare histopathological variant of bladder tumour called benign spindle cell tumour in a young female.