Urinary bladder clot retention
Recent transurethral resection of prostate. Macroscopic haematuria with abdominal pain. Nurses unable to clear the urinary catheter.
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Large rounded, hyperdense mass in the distended bladder surrounding the balloon of a Foley catheter. Mass has ROI of 68HU and a slightly "whorled" appearance indicative of blood clot. Note gas trapped within the clot following attempts at unblocking the catheter.
Appearances are typical of clot retention i.e. clotted blood with the bladder lumen encasing the Foley catheter. This will only be resolved by bladder washout and 3-way irrigation.