Rhabdomyosarcomas, malignant neoplasms exhibiting skeletal muscle differentiation, are the most common childhood sarcomas and most commonly arise in the head-and-neck region. Embryonal rhabdomyosarcomas of the genitourinary tract also occur in children, but are distinctly uncommon in adults. We report a case of embryonal rhabdomyosarcoma arising in the bladder of a 39-year-old woman who presented with urgency, frequency, and gross hematuria.

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