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Clavicle Fracture
Joseph Junewick, MD FACR
over 5 years ago
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Intraluminal bladder hematoma

Case Detail

Anatomy: Genitourinary
Borders
Heather Borders, MD
Diagnostic Category: Vascular
Created: about 1 year ago
Updated: about 1 year ago
Tags: PEDS
Modality/Study Types: US
Activities:
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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.



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