Bladder flap haematoma

Case contributed by Dr Eric F Greif

Presentation

Status post cesarean section with new onset abdominal pain and drop in haemoglobin/ hematocrit.

Patient Data

Age: 32
Gender: Female
Modality: CT

There is evidence for a ventral lower abdominal/pelvic incision, a Pfannenstiel type. There are expected post Caesarean-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.

Modality: Annotated image

Arrows point to bladder flap hematoma. 

Case Discussion

Patient was status post C-section and had a drop in haemoglobin/ hematocrit. CT was performed and demonstrated a moderate-to-large bladder flap hematoma.

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Case Information

rID: 32247
Case created: 21st Nov 2014
Last edited: 12th Dec 2015
Inclusion in quiz mode: Included

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