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We report an unusual case of retrovesical ectopic prostate tissue in a 71-year-old man, whose prostate-specific antigen was 10.20 ng/ml. Transabdominal ultrasonography, pelvic computed tomography showed a heterogeneous, solid-cystic, 8 cm × 8.8 cm × 8.5 cm mass in contact with the posterior wall of the bladder. The patient underwent a laparoscopic pelvic neoplasm resection. Pathological examination confirmed the retrovesical tumor was normal prostate tissue.