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
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.

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: 9th May 2017
Inclusion in quiz mode: Included

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