 We describe two cases of inflammatory myofibroblastic tumor IMT involving genitourinary system. One patient with mass of urinary bladder presented with lower abdominal pain. Other presented with a mass involving right kidney presented with right flank pain. At time there are no specific guidelines exist for the management of inflammatory myofibroblastic tumors. In this case series we will discuss the workup and management approaches done for each case. Continuous. This article was authored by Muhammad Nauman, Assad Shahzad Hassan, Gohar Sultan and others.