Test Yourself

Case 1

HISTORY

A young man presented in urinary retention. He had suffered a renal contusion whilst playing football a week earlier which had been managed conservatively.

ULTRASOUND FINDINGS

A large, echogenic mass was seen in the bladder. The mass was mobile, as shown by the left and right decubitus views, suggesting a blood clot secondary to the renal contusion (see case).

DISCUSSION

Bladder masses should be assessed firstly to determine if they are due to bladder wall thickening (e.g. tumour, inflammatory masses) or to intravesical masses (e.g. blood clots, infectious debris, foreign bodies (such as catheter balloons), stones). The mobility of this mass clearly showed it was intravesical and not from the bladder wall.

SUBMITTED BY

Adrian Goudie 


Bladder trans

Bladder trans

A large, smooth, echogenic mass is seen at the bladder base.
Bladder trans Bladder trans, Rt decub Bladder trans, Lt decub