Bladder flap hematoma

Case contributed by Dr Eric F Greif

Presentation

Post cesarean section with new onset abdominal pain and drop in hemoglobin/ hematocrit.

Patient Data

Age: 30 years
Gender: Female
CT

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.

Annotated image

Arrows point to bladder flap hematoma. 

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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