Urinary bladder clot retention
Citation, DOI, disclosures and case data
O'Donnell C, Urinary bladder clot retention. Case study, Radiopaedia.org (Accessed on 23 Mar 2023) https://doi.org/10.53347/rID-57914
At the time the case was submitted for publication Chris O'Donnell had no recorded disclosures.View Chris O'Donnell's current disclosures
21 Jan 2018
3 times, by 2 contributors - see full revision history and disclosures
Recent transurethral resection of prostate. Macroscopic hematuria with abdominal pain. Nurses unable to clear the urinary catheter.
Age: 65 years
From the case: Urinary bladder clot retention
Loading Stack -
0 images remaining
Large rounded, hyperdense mass in the distended bladder surrounding the balloon of a Foley catheter. Mass has ROI of 68 HU 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.