Gross hematuria in an immunocompromised male - A case report

This case highlights the unusual presentation of MCC with bladder metastasis in an immunocompromised Hispanic male. The patient revealed aggressive pathology per CT and developed persistent hematuria which were managed with bilateral nephrostomy for symptom relief. To our knowledge, this is the first reported case of MCC bladder metastasis in a Puerto Rican immunocompromised male, underscoring the importance of considering rare metastatic sites in MCC and tailoring treatment approaches accordingly.