Mucinous adenocarcinoma of the bladder is rare. The most common symptoms are hematuria, suprapubic pain and dysuria. The patient in the present case was a 59-year-old female who presented with a tumor sized ~5.0×3.4 cm, located in the anterior bladder wall, which was pathologically diagnosed as mucinous bladder adenocarcinoma. The stage at presentation was considered to be advanced and inoperable, due to extensive local invasion. For this type of cancer, early diagnosis is crucial. If the cancer is limited to the bladder, the survival rate may exceed 75%. Thus, for patients with confirmed or highly suspicious bladder mucinous adenocarcinoma, radical bladder cancer resection is required. The 5-year survival rate of this type of cancer is 35-55%. In the present case, the cancer of the patient was considered inoperable and 3 months later she succumbed to the disease.