Presentation
Post cesarean section with new onset abdominal pain and drop in hemoglobin/ hematocrit.
Patient Data
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There is evidence for a ventral lower abdominal/pelvic incision, a Pfannenstiel type. There are expected post cesarean-section surgical changes/findings including small amount of subcutaneous emphysema, cutaneous stranding/staples, pneumoperitoneum, and small amount of hemorrhage/air within the uterus. There is an expected large post-partum uterus. Moderate amount of ascites is present. There is a moderate to large size hyperdense mass between the bladder and lower uterus keeping with bladder flap hematoma. Foley catheter is noted.
Case Discussion
Patient was status post C-section and had a drop in hemoglobin/ hematocrit. CT was performed and demonstrated a moderate-to-large bladder flap hematoma.
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