Abstract
We report an exceptional case of periureteral and presacral localizations of extramedullary hematopoiesis. To our knowledge, the association of presacral or periureteral masses has not been described before. Diagnosis was suggested by the association of computed tomography (CT) imaging findings and knowledge of the clinical context. Guided CT biopsy is a safe and efficient means to obtain final diagnosis of atypical extramedullary hematopoiesis localizations.