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Paragangliomas arising from the urinary bladder are rare. We report a case of multicentric paraganglioma arising in a 27-yearold female with its characteristic zell ballen pattern and immunohistochemical studies, who was clinically misdiagnosed as papilloma. Failure to diagnose pre-operatively can have serious intraoperative consequences. We present this case because of its rare multicentric presentation, and to consider this as a differential diagnosis in bladder lesions to avoid complications during surgery.
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