Space of Retzius hematoma

Case contributed by Michael P Hartung
Diagnosis certain


Pelvic pain after fall.

Patient Data

Age: 70 years
Gender: Female

Mildly displaced fractures of the right pubic ring and pubic body.

Ovoid high-density mass in the space of Retzius distorting the anterior bladder contour. No intraperitoneal hemorrhage. 

Case Discussion

Striking case of a round, well-defined extraperitoneal hematoma in the space of Retzius in the setting of pelvic fractures. This space is located between the pubic symphysis and anterior bladder wall. This is a common location for extraperitoneal bladder rupture. 

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