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Recurrent Urinary Tract Infections (UTIs) are a common issue in females owing mostly to the anatomy of their urinary tract. It can also hint at a pathology pertaining to the pelvic organs like tumors or infections that infiltrate the urinary bladder. We report the case of a 45-year-old woman who initially presented to her GP with recurrent UTI’s worsening after the insertion of a Mirena coil for contraception. Primary appendiceal carcinomas invading the urinary bladder are very infrequent presentations in general practice. A low threshold for diagnosis should be kept in individuals with chronic symptoms pertaining to the urinary tract and adequate treatment started early to prevent spread.