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Bladder flap haematoma

Case contributed by Eric F Greif
Diagnosis certain

Presentation

Post caesarean section with new onset abdominal pain and drop in haemoglobin/ haematocrit.

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 caesarean-section surgical changes/findings including small amount of subcutaneous emphysema, cutaneous stranding/staples, pneumoperitoneum, and small amount of haemorrhage/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 haematoma. Foley catheter is noted.

Annotated image

Arrows point to bladder flap haematoma. 

Case Discussion

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

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