This is a case of trauma in a patient who is anticoagulated. Radiological findings demonstrate an intraluminal bladder hematoma, present prior to indwelling catheter (IDC) insertion. Bladder hematoma is typically associated with high-energy trauma, exact details regarding the fall are not known. Anticoagulants are known to increase the risk of excessive bleeding due to inhibition of thrombin-induced platelet activation.

A three-way IDC for continuous bladder irrigation (CBI) to clear the hematoma and debris. Imaging post irrigation demonstrated significant interval reduction in the hematoma. He also had a total left hip replacement for the left neck of femur fracture.