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Intraluminal bladder hematoma
Case Detail
| Anatomy: Genitourinary |
 Heather Borders, MD |
| Diagnostic Category: Vascular |
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| Created: about 1 year ago |
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| Updated: about 1 year ago |
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| Tags:
PEDS
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| Modality/Study Types:
US
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Activities:  PDF  ImageJA |
History
Patient with failed bladder catheter.
Case Images
Diagnosis
Bladder hematoma.
Findings
New large heterogeneous avascular bladder mass with layered appearance. Not present on renal ultrasound a few months prior and resolved on short term follow up.
Discussion
Bladder hematoma is most commonly post traumatic. Typical imaging features are an avascular/nonenhancing bladder mass that may fill the bladder and could have a layered morphology with an attenuation value in the range of 50-60 HU on CT. Primary differential is a neoplastic mass. Mobility of a hematoma is helpful to exclude a mass originating from the bladder wall. Resolution of a hematoma is typical and is aided by urokinase in urine.
Reference
Ultrasound of the uorgenital system. Diseases of the bladder and prostate. Baxter et al.